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Summary of Significant Accounting Policies - Investments in Unconsolidated Entities (Details) - USD ($)
$ in Thousands
12 Months Ended
Oct. 31, 2016
Dec. 31, 2016
Dec. 31, 2016
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Business Acquisition [Line Items]            
Percentage of interest held     97.50% 43.00% 95.70%  
Acquisition price   $ 1,285,185     $ 840,958  
Jeff Orleans Medical Development Real Estate L L C            
Business Acquisition [Line Items]            
Percentage of interest held           40.00%
Acquisition price           $ 1,300
United Surgical Partners J.V.            
Business Acquisition [Line Items]            
Acquisition price $ 903