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Held for Sale and Discontinued Operations Schedule of Financial Results of DMG's Discontinued Operations (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]          
Goodwill impairment charges $ 3,106 $ 10,498 $ 3,106 $ 34,696 $ 36,196
Net income (loss) from discontinued operations, net of tax 69,696 (24,520) 63,910 (18,087)  
DMG held for sale | Discontinued Operations, Held-for-sale          
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]          
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 0 50,619 0 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)