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Acquisitions, Divestiture and Joint Venture Activities (Details) - USD ($)
$ in Thousands
Jun. 30, 2021
Dec. 31, 2020
Business Acquisition [Line Items]    
Goodwill $ 1,259,726 $ 1,259,147
A 2020 Acquisitions    
Business Acquisition [Line Items]    
Other assets and (liabilities), net 9  
Total identifiable assets 164  
Noncontrolling interest 113  
Goodwill 599  
Goodwill noncontrolling interest portion 78  
Trade names | A 2020 Acquisitions    
Business Acquisition [Line Items]    
Indefinite-lived intangible assets 26  
Certificates of need/licenses | A 2020 Acquisitions    
Business Acquisition [Line Items]    
Indefinite-lived intangible assets $ 129