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[Axis] Class of Stock [Axis] INCOME TAX EXPENSE (BENEFIT) Income tax (benefit) expense Income Tax Expense (Benefit) Cash paid for income taxes Income Taxes Paid, Net Cash and cash equivalents - beginning of the period CASH AND CASH EQUIVALENTS - END OF PERIOD Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents Schedule of Long-term Debt Maturities Schedule of Maturities of Long-term Debt [Table Text Block] Cash paid in conjunction with the Merger included in purchase consideration Payments to Acquire Businesses, Gross Equity Interest Type [Axis] Equity Interest Type [Axis] Derivative Instruments and Hedging Activities Disclosure [Abstract] Derivative Instruments and Hedging Activities Disclosure [Abstract] Tranche One Share-based Payment Arrangement, Tranche One [Member] Payment of shares in acquisition Business Combination, Consideration Transferred, Equity Interests Issued and Issuable Summary of Debt Schedule of Debt [Table Text Block] Derivative [Line Items] Derivative [Line Items] Ownership retained by shareholders after merger Business Combination, Ownership Interest Retained Percentage of Company ownership shareholders retained after merger Equity in earnings of joint ventures Investment Income, Net Principal Amount Total Long-term Debt, Gross Depreciation expense Depreciation Government payers Commercial Customer [Member] Commercial Customer [Member] Consecutive trading days threshold Debt Instrument, Convertible, Threshold Consecutive Trading Days Schedule of Finite-Lived Intangible Assets [Table] Schedule of Finite-Lived Intangible Assets [Table] Net revenue Business Acquisition, Pro Forma Revenue Deferred income taxes - net Deferred Income Tax Expense (Benefit) Award Type [Axis] Award Type [Axis] Total accumulated amortization Finite-Lived Intangible Assets, Accumulated Amortization Security Exchange Name Security Exchange Name Preferred stock, shares authorized (in shares) Preferred Stock, Shares Authorized Operating lease right-of-use asset Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Operating Lease Right-Of-Use Assets Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Operating Lease Right-Of-Use Assets Accumulated Deficit Retained Earnings [Member] Preferred stock, shares, outstanding (in shares) Preferred Stock, Shares Outstanding Effective tax rate Effective Income Tax Rate Reconciliation, Percent Summary of Significant Accounting Policies Significant Accounting Policies [Text Block] Net cash used in investing activities Net Cash Provided by (Used in) Investing Activities Award Type [Domain] Award Type [Domain] NONCURRENT LIABILITIES: Liabilities, Noncurrent [Abstract] Document Transition Report Document Transition Report Accrued expenses and other current liabilities Increase (Decrease) in Other Accounts Payable and Accrued Liabilities Management fee income Revenue from Related Parties Property and Equipment Property, Plant and Equipment Disclosure [Text Block] Treasury stock; 383,722 shares outstanding, at cost, as of June 30, 2020 and December 31, 2019, respectively Treasury Stock, Value (Loss) Earnings Per Share Earnings Per Share [Text Block] Organization, Consolidation and Presentation of Financial Statements [Abstract] Organization, Consolidation and Presentation of Financial Statements [Abstract] CURRENT LIABILITIES: Liabilities, Current [Abstract] Recent Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Statement of Financial Position [Abstract] Statement of Financial Position [Abstract]