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Goodwill - Schedule of Reporting Units Goodwill Balances (Details) - USD ($)
9 Months Ended
Sep. 30, 2017
Dec. 31, 2016
Dec. 31, 2015
Goodwill [Line Items]      
Goodwill $ 9,415,877,000 $ 9,407,317,000 $ 9,294,479,000
Percentage Change In Operating Income Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment 3.00%    
Percentage Change In Discount Rate Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment 1.00%    
DMG      
Goodwill [Line Items]      
Goodwill $ 2,873,032,000 $ 3,391,942,000 $ 3,398,264,000
DMG | CALIFORNIA      
Goodwill [Line Items]      
Goodwill $ 1,888,609,000    
Carrying amount coverage 0.00%    
Sensitivities, operating income (3.00%)    
Sensitivities, discount rate (5.80%)    
DMG | FLORIDA      
Goodwill [Line Items]      
Goodwill $ 378,071,000    
Carrying amount coverage 0.00%    
Sensitivities, operating income (0.90%)    
Sensitivities, discount rate (3.30%)    
DMG | NEW MEXICO      
Goodwill [Line Items]      
Goodwill $ 56,293,000    
Carrying amount coverage 0.00%    
Sensitivities, operating income (1.10%)    
Sensitivities, discount rate (2.10%)    
DMG | WASHINGTON      
Goodwill [Line Items]      
Goodwill $ 247,552,000    
Carrying amount coverage 17.10%    
Sensitivities, operating income (1.70%)    
Sensitivities, discount rate (3.40%)    
Vascular Access Clinic      
Goodwill [Line Items]      
Goodwill $ 0