Quarterly Financial Information (Unaudited) (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Quarterly Financial Information Disclosure [Abstract]                      
Net services revenue $ 68,341 $ 15,842 $ 22,085 $ 10,971 $ 47,456 $ 90,745 $ 58,975 $ 12,964 $ 117,239 $ 210,140 $ 504,768
Total operating expenses 57,423 70,685 64,342 60,833 79,026 76,001 86,167 97,599 253,283 338,793 300,666
Income (loss) from operations 10,918 (54,843) (42,257) (49,862) (31,570) 14,744 (27,192) (84,635) (136,044) (128,653) 204,102
Net income (loss) $ 5,447 $ (32,970) $ (26,288) $ (30,445) $ (17,651) $ 9,553 $ (16,799) $ (54,723) $ (84,256) $ (79,620) $ 130,083
Net income (loss) per common share:                      
Basic (in USD per share) $ 0.06 $ (0.34) $ (0.27) $ (0.32) $ (0.18) $ 0.10 $ (0.18) $ (0.57) $ (0.87) $ (0.83) $ 1.36
Diluted (in USD per share) $ 0.06 $ (0.34) $ (0.27) $ (0.32) $ (0.18) $ 0.10 $ (0.18) $ (0.57) $ (0.87) $ (0.83) $ 1.34