Held for Sale and Discontinued Operations (Tables)

9 Months Ended

Sep. 30, 2018

Discontinued Operations and Disposal Groups [Abstract]

Disposal Groups, Including Discontinued Operations [Table Text Block]

The following table presents the financial results of discontinued operations related to DMG:

	Three months ended September 30,						Nine months ended September 30,
	2018			2017			2018			2017
Revenues	$	1,252,909		$	1,178,443		$	3,733,270		$	3,461,493
Expenses	1,260,814			1,164,562			3,679,747			3,396,914
Goodwill impairment charges	—			601,040			—			651,659
Valuation adjustment	98,201			—			98,201			—
(Loss) income from discontinued operations before taxes	(106,106		)	(587,159		)	(44,678		)	(587,080		)
Income tax expense (benefit)	105,633			(216,287		)	103,151			(198,121		)
Net loss from discontinued operations, net of tax	(211,739		)	(370,872		)	(147,829		)	(388,959		)

The following table presents the financial position of discontinued operations related to DMG:

	September 30, 2018			December 31, 2017
Assets
Cash and cash equivalents	$	444,468		$	179,668
Other current assets	848,905			826,608
Property and equipment, net	438,332			379,945
Intangible assets, net	1,316,571			1,316,550
Other long-term assets	114,236			178,894
Goodwill	2,883,475			2,879,977
Valuation allowance on disposal group	(98,201		)	—
Total current assets held for sale, net	$	5,947,786		$	5,761,642
Liabilities
Other liabilities	$	652,502		$	505,734
Medical payables	457,748			457,040
Current portion of long-term debt	2,839			2,845
Long-term debt	33,595			35,003
Other long-term liabilities	272,937			184,448
Total current liabilities held for sale	$	1,419,621		$	1,185,070

The following table presents cash flows of discontinued operations related to DMG:

	September 30, 2018			September 30, 2017
Net cash provided by operating activities from discontinued operations	$	208,570		$	298,974
Net cash used in investing activities from discontinued operations	$	(32,860	)	$	(187,606	)