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Held for Sale and Discontinued Operations Financial results for discontinued operations related to DMG (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Goodwill and other asset impairment charges $ 124,892 $ 3,106 $ 36,196
Valuation adjustment on disposal group 0 316,840 0
Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest 105,483 (457,038) (245,372)
DMG - Held for sale | Discontinued Operations, Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Net revenues 2,713,059 4,963,792 4,676,213
Expenses 2,543,865 4,962,686 4,634,782
Goodwill and other asset impairment charges 0 41,537 651,659
Valuation adjustment on disposal group 0 316,840 0
Income (loss) from discontinued operations before taxes 169,194 (357,271) (610,228)
Loss on sale of discontinued operations before taxes (23,022) 0 0
Income tax expense (benefit) $ 40,689 $ 99,768 $ (364,856)