XML 41 R30.htm IDEA: XBRL DOCUMENT v3.10.0.1
General - Concentration of Business (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Operating results by business segment          
Revenues $ 1,810,923 $ 1,419,139 $ 3,616,000 $ 2,724,762  
Accounts receivable, net 839,773   $ 839,773   $ 660,775
Minimum          
Operating results by business segment          
Term of contracts with customers     1 year    
Term of renewal contracts     1 year    
Notice period for termination of contract     30 days    
Maximum          
Operating results by business segment          
Term of contracts with customers     3 years    
Term of renewal contracts     2 years    
Notice period for termination of contract     180 days    
Pennsylvania Counties          
Operating results by business segment          
Revenues     $ 275,300 232,400  
CMS          
Operating results by business segment          
Revenues     205,100 236,100  
Accounts receivable, net $ 119,800   119,800   $ 131,500
United States federal government          
Operating results by business segment          
Revenues     $ 165,800 $ 177,500