XML 81 R68.htm IDEA: XBRL DOCUMENT v3.10.0.1
Held for Sale and Discontinued Operations Additional Information (Details)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Jun. 01, 2018
USD ($)
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2018
USD ($)
clinic
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Payments to Acquire Businesses, Gross       $ 113,526 $ 726,538  
Goodwill impairment charges   $ 0 $ 0 3,106 34,696 $ 36,196
Series of Individually Immaterial Business Acquisitions [Member]            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Payments to Acquire Businesses, Gross       $ 110,671    
DMG held for sale | Series of Individually Immaterial Business Acquisitions [Member]            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of businesses acquired | clinic       3    
Payments to Acquire Businesses, Gross       $ 2,854    
Business Combination, Consideration Transferred, Other       275    
Discontinued Operations, Held-for-sale | DMG held for sale            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Valuation Charge To Record Valuation Allowance And Related Tax Expense for Disposal Group   216,147        
Valuation Adjustment on Disposal Group   98,201 0 98,201 0  
Tax Expense Related To Valuation Adjustment for Disposal Group   117,946        
Goodwill impairment charges   $ 0 $ 601,040 $ 0 $ 651,659  
Tandigm Health            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Sale of Stock, Percentage of Ownership before Transaction 19.00%          
Gain (Loss) on Disposition of Business, Net of Tax $ 18,636