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Discontinued Operations (Details) - USD ($)
$ in Thousands
 12 Months Ended
Feb. 01, 2015
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Gain on sale of discontinued operations, net of income taxes   $ 0 $ 25,703 $ 0
Cash Provided by (Used in) Operating Activities, Discontinued Operations   5 (1,778) 836
Proceeds from Divestiture of Businesses, Net of Cash Divested   6,000 115,440 0
Other Cash Provided by (Used in) Investing Activities, Discontinued Operations   0 (14) (308)
Cash Provided by (Used in) Investing Activities, Discontinued Operations   6,000 115,426 (308)
Disposal Group, Including Discontinued Operation, Revenue     12,068 137,166
Disposal Group Including Discontinued Operations Cost of Services     8,653 94,848
Disposal Group, Including Discontinued Operation, Gross Profit (Loss)     3,415 42,318
Disposal Group, Including Discontinued Operation, General and Administrative Expense     2,385 33,078
Disposal Group Including Discontinued Operations Amortization of Intangible Assets     155 2,721
Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax     875 6,519
Discontinued Operation, Tax Effect of Discontinued Operation     350 2,830
Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent   5 525 3,689
Physician Segment [Member]        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Proceeds from Divestiture of Businesses $ 123,000      
Gain on sale of discontinued operations, net of income taxes 25,700      
Discontinued Operation, Tax Effect of Gain (Loss) from Disposal of Discontinued Operation $ 14,400      
Proceeds from Divestiture of Businesses, Net of Cash Divested   $ 6,000 $ 115,440 $ 0