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Held for Sale and Discontinued Operations (Tables) | 6 Months Ended
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Jun. 30, 2019
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,
| 2019 |  | 2018 |  | 2019 |  | 2018
Revenues | $ | 1,330,777 |  |  | $ | 1,252,430 |  |  | $ | 2,713,059 |  |  | $ | 2,480,362 |
Expenses | 1,201,633 |  |  | 1,192,528 |  |  | 2,539,787 |  |  | 2,418,935 |
Income from operations of discontinued operations before taxes | 129,144 |  |  | 59,902 |  |  | 173,272 |  |  | 61,427 |
Loss on sale of discontinued operations before taxes | (23,022 | ) |  | — |  |  | (23,022 | ) |  | — |
Income tax expense (benefit) | 26,730 |  |  | (9,794 | ) |  | 40,553 |  |  | (2,483 | )
Net income from discontinued operations, net of tax | $ | 79,392 |  |  | $ | 69,696 |  |  | $ | 109,697 |  |  | $ | 63,910 |
The following table presents cash flows of discontinued operations related to DMG:
| Six months ended June 30,
| 2019 |  | 2018
Net cash provided by operating activities from discontinued operations | $ | 103,848 |  |  | $ | 112,683 |
Net cash used in investing activities from discontinued operations | $ | (43,442 | ) |  | $ | (20,982 | )

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