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Held for Sale and Discontinued Operations (Tables)
3 Months Ended
Mar. 31, 2018
Discontinued Operations and Disposal Groups [Abstract]  
Disposal Groups, Including Discontinued Operations [Table Text Block]
The following table presents the financial results of discontinued operations related to DMG:
 
Three months ended
March 31,

 
2018
 
2017
Revenues
$
1,227,932

 
$
1,086,985

Expenses
1,226,407

 
1,074,452

Income from discontinued operations before taxes
1,525

 
12,533

Income tax expense
7,311

 
6,100

Net (loss) income from discontinued operations, net of tax
$
(5,786
)
 
$
6,433


The following table presents the financial position of discontinued operations related to DMG:
 
March 31, 2018
 
December 31, 2017
Assets
 

 
 

Cash and cash equivalents
192,399

 
179,668

Other current assets
768,388

 
826,608

Property and equipment, net
410,127

 
379,945

Intangible assets, net
1,316,462

 
1,316,550

Other long-term assets
155,385

 
178,894

Goodwill
2,881,504

 
2,879,977

Total current assets held for sale
$
5,724,265

 
$
5,761,642

Liabilities
 

 
 

Other liabilities
529,354

 
505,734

Medical payables
505,872

 
457,040

Current portion of long-term debt
2,735

 
2,845

Long-term debt
34,541

 
35,003

Other long-term liabilities
182,123

 
184,448

Total current liabilities held for sale
$
1,254,625

 
$
1,185,070

The following table presents cash flows of discontinued operations related to DMG:
 
March 31, 2018
 
March 31, 2017
Net cash provided by operating activities from discontinued operations
156,248

 
95,585

Net cash used in investing activities from discontinued operations
(33,068
)
 
(41,686
)