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Basis of Presentation and Significant Accounting Policies (Summary of Components of Net Operating Revenues Before Provision for Bad Debts) (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Health Care Organizations [Abstract]    
Operating revenues $ 3,068,323 $ 3,080,653
Less: Contractual allowances (2,371,292) (2,361,035)
Less: Discounts (109,086) (105,134)
Total net operating revenues, before the provision for bad debts $ 587,945 $ 614,484