Significant Accounting Policies - Schedule of Revenues by Sources (Details) - USD ($) $ in Thousands |
3 Months Ended |
12 Months Ended |
Dec. 31, 2016 |
Sep. 30, 2016 |
Jun. 30, 2016 |
Mar. 31, 2016 |
Dec. 31, 2015 |
Sep. 30, 2015 |
Jun. 30, 2015 |
Mar. 31, 2015 |
Dec. 31, 2016 |
Dec. 31, 2015 |
Dec. 31, 2014 |
| Organization, Consolidation and Presentation of Financial Statements [Abstract] |
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| Increase of revenue as result of changes in estimates to third-party settlements |
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$ 6,800
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$ 2,300
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Total net revenues |
$ 306,001
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$ 282,682
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$ 289,681
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$ 267,074
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$ 263,322
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$ 239,599
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$ 232,827
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$ 224,143
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1,145,438
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959,891
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$ 403,289
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| Healthcare Organization, Patient Service |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Patient service revenues |
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$ 1,124,604
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$ 940,711
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$ 388,073
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| Healthcare Organization, Patient Service | Customer | Revenue |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Revenue by service type as a percentage of total revenues |
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100.00%
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100.00%
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100.00%
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| Optical services |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Other service revenues |
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$ 12,505
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$ 14,572
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$ 14,193
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| Other |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Other service revenues |
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8,329
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4,608
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1,023
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| Private insurance | Healthcare Organization, Patient Service |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Patient service revenues |
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$ 579,662
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$ 516,739
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$ 202,172
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| Private insurance | Healthcare Organization, Patient Service | Customer | Revenue |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Revenue by service type as a percentage of total revenues |
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51.50%
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55.00%
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52.10%
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| Government | Healthcare Organization, Patient Service |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Patient service revenues |
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$ 448,953
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$ 359,471
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$ 134,041
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| Government | Healthcare Organization, Patient Service | Customer | Revenue |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Revenue by service type as a percentage of total revenues |
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39.90%
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38.20%
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34.50%
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| Self-pay | Healthcare Organization, Patient Service |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Patient service revenues |
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$ 19,817
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$ 16,190
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$ 13,645
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| Self-pay | Healthcare Organization, Patient Service | Customer | Revenue |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Revenue by service type as a percentage of total revenues |
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1.80%
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1.70%
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3.50%
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| Other | Healthcare Organization, Patient Service |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Patient service revenues |
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$ 76,172
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$ 48,311
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$ 38,215
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| Other | Healthcare Organization, Patient Service | Customer | Revenue |
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| Health Care Organization, Receivable and Revenue Disclosures [Line Items] |
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| Revenue by service type as a percentage of total revenues |
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6.80%
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5.10%
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9.90%
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