Business Combination Consideration Transferred Deferred Purchase Price And Liabilities Incurred

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- Definition

Loss On Disposition Of Business Interests Before Tax

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No definition available.

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- Definition

Purchase And Sale Agreement Aggregate Purchase Price.

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No definition available.

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- Definition

Date when the business acquisition agreement was executed, in CCYY-MM-DD format.

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No definition available.

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- Definition

Date when the acquirer obtains control of the acquiree, in CCYY-MM-DD format.

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- Definition

Amount of tangible or intangible assets, including a business or subsidiary of the acquirer transferred by the entity to the former owners of the acquiree. Excludes cash.

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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No definition available.

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- Definition

The number of businesses acquired by the entity during the period.

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- Definition

The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

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The cash inflow associated with the amount received from the sale of a portion of the company's business, for example a segment, division, branch or other business, during the period.

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This element represents the cash inflow during the period from the sale of a component of the entity.

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Held for Sale and Discontinued Operations - Additional Information (Details) $ in Thousands			6 Months Ended	12 Months Ended
	Jun. 19, 2019 USD ($)	Dec. 05, 2017	Jun. 18, 2019 USD ($) clinic	Dec. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Proceeds from sale of DMG division	$ 4,465,476
Proceeds from Divestiture of Businesses, Net of Cash Divested	$ 3,824,509
Payments to Acquire Businesses, Gross				$ 100,861	$ 183,156	$ 803,879
Series of individually immaterial business acquisitions
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Payments to Acquire Businesses, Gross				98,836	176,161	308,550
DMG Acquisitions \| Series of individually immaterial business acquisitions
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of businesses acquired \| clinic			2
Payments to Acquire Businesses, Gross			$ 2,025		6,995	135,416
Business combination, deferred purchase price			$ 212		1,142	1,038
Business combination, deferred purchase price and liabilities assumed						10,145
Discontinued Operations, Held-for-sale \| DMG - Held for sale
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Business acquisition, effective date of acquisition	Jun. 19, 2019
Purchase And Sale Agreement Aggregate Purchase Price	$ 4,340,000
Business Acquisition, Date of Acquisition Agreement		Dec. 05, 2017
Loss on sale of discontinued operations before taxes				$ (23,022)	$ 0	$ 0