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Goodwill Schedule of Reporting Units Goodwill Balances (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2017
Dec. 31, 2016
Dec. 31, 2015
Goodwill [Line Items]      
Percentage Change In Discount Rate Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment 1.00%    
Percentage Change In Operating Income Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment 3.00%    
Goodwill $ 9,889,791 $ 9,407,317 $ 9,294,479
DMG      
Goodwill [Line Items]      
Goodwill 3,373,090 $ 3,391,942 $ 3,398,264
DMG | NEVADA      
Goodwill [Line Items]      
Goodwill $ 275,914    
Carrying amount coverage 17.00%    
Sensitivities, operating income (2.40%)    
Sensitivities, discount rate (3.80%)    
DMG | FLORIDA      
Goodwill [Line Items]      
Goodwill $ 397,127    
Carrying amount coverage 0.00%    
Sensitivities, operating income (1.60%)    
Sensitivities, discount rate (2.80%)    
DMG | NEW MEXICO      
Goodwill [Line Items]      
Goodwill $ 70,253    
Carrying amount coverage 0.00%    
Sensitivities, operating income (1.60%)    
Sensitivities, discount rate (2.40%)    
DMG | WASHINGTON      
Goodwill [Line Items]      
Goodwill $ 247,552    
Carrying amount coverage 9.30%    
Sensitivities, operating income (1.70%)    
Sensitivities, discount rate (3.60%)