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Held for Sale and Discontinued Operations (Tables)
6 Months Ended
Jun. 30, 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
June 30,
 
Six months ended
June 30,
 
2018
 
2017
 
2018
 
2017
Revenues
$
1,252,430

 
$
1,196,066

 
$
2,480,362

 
$
2,283,050

Expenses
1,192,528

 
1,157,901

 
2,418,935

 
2,232,352

Goodwill impairment charges

 
50,619

 

 
50,619

Income (loss) from discontinued operations before taxes
59,902

 
(12,454
)
 
61,427

 
79

Income tax benefit (expense)
9,794

 
(12,066
)
 
2,483

 
(18,166
)
Net income (loss) from discontinued operations, net of tax
$
69,696

 
$
(24,520
)
 
$
63,910

 
$
(18,087
)

The following table presents the financial position of discontinued operations related to DMG:
 
June 30, 2018
 
December 31, 2017
Assets
 

 
 

Cash and cash equivalents
$
404,435

 
$
179,668

Other current assets
862,764

 
826,608

Property and equipment, net
425,943

 
379,945

Intangible assets, net
1,316,468

 
1,316,550

Other long-term assets
161,622

 
178,894

Goodwill
2,881,849

 
2,879,977

Total current assets held for sale
$
6,053,081

 
$
5,761,642

Liabilities
 

 
 

Other liabilities
$
580,978

 
$
505,734

Medical payables
487,920

 
457,040

Current portion of long-term debt
2,636

 
2,845

Long-term debt
34,076

 
35,003

Other long-term liabilities
165,754

 
184,448

Total current liabilities held for sale
$
1,271,364

 
$
1,185,070

The following table presents cash flows of discontinued operations related to DMG:
 
June 30, 2018
 
June 30, 2017
Net cash provided by operating activities from discontinued operations
$
112,683

 
$
101,215

Net cash used in investing activities from discontinued operations
$
(20,982
)
 
$
(85,289
)