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Held for Sale and Discontinued Operations Schedule of Financial Position of Discontinued Operations Related to DMG (Details) - USD ($)
$ in Thousands
Jun. 30, 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 $ 6,053,081 $ 5,761,642
Total current liabilities held for sale 1,271,364 1,185,070
DMG held for sale | Discontinued Operations, Held-for-sale    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
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
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