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Held for Sale and Discontinued Operations Schedule of Financial Position of Discontinued Operations Related to DMG (Details) - USD ($) $ in Thousands | Sep. 30, 2018 | Dec. 31, 2017
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Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Total current assets held for sale | $ 5,947,786 | $ 5,761,642
Total current liabilities held for sale | 1,419,621 | 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 | 444,468 | 179,668
Other current assets | 848,905 | 826,608
Property and equipment, net | 438,332 | 379,945
Intangible assets, net | 1,316,571 | 1,316,550
Other long-term assets | 114,236 | 178,894
Goodwill | 2,883,475 | 2,879,977
Valuation Allowance On Disposal Group | (98,201) | 0
Other liabilities | 652,502 | 505,734
Medical payables | 457,748 | 457,040
Current portion of long-term debt | 2,839 | 2,845
Long-term debt | 33,595 | 35,003
Other long-term liabilities | $ 272,937 | $ 184,448

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