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Held for Sale and Discontinued Operations Schedule of Financial Position of Discontinued Operations Related to DMG (Details) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Total current assets held for sale $ 5,724,265 $ 5,761,642
Total current liabilities held for sale 1,254,625 1,185,070
DMG | Discontinued Operations, Held-for-sale    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
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
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