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Goodwill Schedule of Reporting Units Goodwill Balances (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Goodwill [Line Items]      
Percentage Change In Discount Rate Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment 1.00%    
Percentage Change In Operating Income Used To Evaluate Fair Value Of Reporting Unit For Goodwill Assessment 3.00%    
Goodwill $ 9,452,470 $ 9,407,317 $ 9,294,479
DMG      
Goodwill [Line Items]      
Goodwill 3,406,902 $ 3,391,942 $ 3,398,264
DMG | NEVADA      
Goodwill [Line Items]      
Goodwill $ 261,204    
Carrying amount coverage 14.00%    
Sensitivities, operating income (2.70%)    
Sensitivities, discount rate (3.90%)    
DMG | FLORIDA      
Goodwill [Line Items]      
Goodwill $ 447,073    
Carrying amount coverage 10.50%    
Sensitivities, operating income (1.60%)    
Sensitivities, discount rate (2.80%)    
DMG | NEW MEXICO      
Goodwill [Line Items]      
Goodwill $ 70,926    
Carrying amount coverage 4.90%    
Sensitivities, operating income (1.50%)    
Sensitivities, discount rate (2.30%)    
DMG | WASHINGTON      
Goodwill [Line Items]      
Goodwill $ 245,576    
Carrying amount coverage 2.00%    
Sensitivities, operating income (1.70%)    
Sensitivities, discount rate (3.00%)    
Vascular access      
Goodwill [Line Items]      
Goodwill $ 10,498    
Carrying amount coverage 0.00%    
Sensitivities, operating income (1.70%)    
Sensitivities, discount rate (4.90%)