Table: Schedule of Accounts, Notes, Loans and Financing Receivable [Table]

Line Label Object Class Period Type Balance Name
1 Schedule of Accounts, Notes, Loans and Financing Receivable [Table] [Table]

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 us-gaap:ScheduleOfAccountsNotesLoansAndFinancingReceivableTable
2 Legal Entity [Axis] [Axis]

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 dei:LegalEntityAxis
3 Consolidated Entity [Domain] [Domain]

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 dei:EntityDomain
4 Accounts, Notes, Loans and Financing Receivable by Industry of Counterparty, Type [Axis] [Axis]

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 us-gaap:AccountsNotesLoansAndFinancingReceivablesByIndustryOfCounterpartyTypeAxis
5 Industry of Counterparty [Domain] [Domain]

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 us-gaap:IndustryOfCounterpartyDomain
6 Credit Card Intermediary [Member] [Member]

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 us-gaap:CreditCardIntermediaryReceivablesMember
7 Accounts, Notes, Loans and Financing Receivable by Legal Entity of Counterparty, Type [Axis] [Axis]

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 us-gaap:AccountsNotesLoansAndFinancingReceivablesByLegalEntityOfCounterpartyTypeAxis
8 Legal Entity Type of Counterparty [Domain] [Domain]

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 us-gaap:LegalEntityTypeOfCounterpartyDomain
9 Government [Member] [Member]

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 us-gaap:GovernmentMember
10 Individual [Member] [Member]

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 us-gaap:IndividualMember
11 Health Care Patient [Member] [Member]

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 us-gaap:PatientAccountsReceivableMember
12 Corporation [Member] [Member]

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 us-gaap:CorporationMember
13 Partnership [Member] [Member]

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 us-gaap:PartnershipMember
14 Accounts, Notes, Loans and Financing Receivable by Product and Service, Type [Axis] [Axis]

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 us-gaap:AccountsNotesLoansAndFinancingReceivablesByProductAndServiceTypeAxis
15 Products and Services [Domain] [Domain]

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 us-gaap:ProductsAndServicesDomain
16 Business Segments [Axis] [Axis]

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 us-gaap:StatementBusinessSegmentsAxis
17 Business Segments, All [Domain] [Domain]

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 us-gaap:SegmentDomain
18 Business Intersegment, Eliminations [Member] [Member]

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 us-gaap:BusinessIntersegmentEliminationsMember
19 Accounts, Notes, Loans and Financing Receivable by Billing Status, Type [Axis] [Axis]

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 us-gaap:AccountsNotesLoansAndFinancingReceivablesByBillingStatusTypeAxis
20 Receivables Billing Status [Domain] [Domain]

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 us-gaap:ReceivablesBillingStatusDomain
21 Unbilled Revenues [Member] [Member]

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 us-gaap:UnbilledRevenuesMember
22 Billed Revenues [Member] [Member]

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 us-gaap:BilledRevenuesMember
23 Accounts, Notes, Loans and Financing Receivable by Receivable Type [Axis] [Axis]

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 us-gaap:AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis
24 Receivable Type [Domain] [Domain]

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 us-gaap:ReceivableTypeDomain
25 Trade Accounts Receivable [Member] [Member]

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 us-gaap:TradeAccountsReceivableMember
26 Notes Receivable [Member] [Member]

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 us-gaap:NotesReceivableMember
27 Loans Receivable [Member] [Member]

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 us-gaap:LoansReceivableMember
28 Financing Receivable [Member] [Member]

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 us-gaap:FinanceReceivablesMember
29 Mortgage Receivable [Member] [Member]

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 us-gaap:MortgageReceivablesMember
30 Credit Card Receivable [Member] [Member]

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 us-gaap:CreditCardReceivablesMember
31 Accrued Income Receivable [Member] [Member]

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 us-gaap:AccruedIncomeReceivableMember
32 Accounts, Notes, Loans and Financing Receivable [Line Items] [Line Items]

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 us-gaap:AccountsNotesAndLoansReceivableLineItems
33 Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block] [Concept] Text Block (HTML) For Period

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 us-gaap:ScheduleOfAccountsNotesLoansAndFinancingReceivableTextBlock
34 Accounts, Notes, Loans and Financing Receivable, Classified [Hierarchy] [Abstract]

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 us-gaap:AccountsNotesAndLoansReceivableClassifiedAbstract
35 Accounts, Notes, Loans and Financing Receivable, Net, Current [Roll Up] [Abstract]

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 us-gaap:AccountsNotesAndLoansReceivableNetCurrentAbstract
36 Accounts Receivable, Net, Current [Roll Up] [Abstract]

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 us-gaap:AccountsReceivableNetCurrentAbstract
37 Accounts Receivable, Gross, Current [Concept] Monetary As Of Debit us-gaap:AccountsReceivableGrossCurrent
38 Allowance for Doubtful Accounts Receivable, Current [Concept] Monetary As Of Credit us-gaap:AllowanceForDoubtfulAccountsReceivableCurrent
39 Accounts Receivable, Net, Current, Total [Concept] Monetary As Of Debit us-gaap:AccountsReceivableNetCurrent
40 Notes, Loans and Financing Receivable, Net, Current [Roll Up] [Abstract]

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 us-gaap:NotesAndLoansReceivableNetCurrentAbstract
41 Notes, Loans and Financing Receivable, Gross, Current [Concept] Monetary As Of Debit us-gaap:NotesAndLoansReceivableGrossCurrent
42 Allowance for Notes, Loans and Financing Receivable, Current [Concept] Monetary As Of Credit us-gaap:AllowanceForNotesAndLoansReceivableCurrent
43 Notes, Loans and Financing Receivable, Net, Current, Total [Concept] Monetary As Of Debit us-gaap:NotesAndLoansReceivableNetCurrent
44 Accounts, Notes, Loans and Financing Receivable, Net, Current, Total [Concept] Monetary As Of Debit us-gaap:AccountsNotesAndLoansReceivableNetCurrent
45 Accounts, Notes, Loans and Financing Receivable, Net, Noncurrent [Roll Up] [Abstract]

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 us-gaap:LongTermAccountsNotesAndLoansReceivableNetNoncurrentAbstract
46 Accounts Receivable, Net, Noncurrent [Roll Up] [Abstract]

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 us-gaap:AccountsReceivableNetNoncurrentAbstract
47 Accounts Receivable, Gross, Noncurrent [Concept] Monetary As Of Debit us-gaap:AccountsReceivableGrossNoncurrent
48 Allowance for Doubtful Accounts Receivable, Noncurrent [Concept] Monetary As Of Credit us-gaap:AllowanceForDoubtfulAccountsReceivableNoncurrent
49 Accounts Receivable, Net, Noncurrent, Total [Concept] Monetary As Of Debit us-gaap:AccountsReceivableNetNoncurrent
50 Notes, Loans and Financing Receivable, Net, Noncurrent [Roll Up] [Abstract]

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 us-gaap:NotesAndLoansReceivableNetNoncurrentAbstract
51 Notes, Loans and Financing Receivable, Gross, Noncurrent [Concept] Monetary As Of Debit us-gaap:NotesAndLoansReceivableGrossNoncurrent
52 Allowance for Notes, Loans and Financing Receivable, Noncurrent [Concept] Monetary As Of Credit us-gaap:AllowanceForNotesAndLoansReceivableNoncurrent
53 Notes, Loans and Financing Receivable, Net, Noncurrent, Total [Concept] Monetary As Of Debit us-gaap:NotesAndLoansReceivableNetNoncurrent
54 Accounts, Notes, Loans and Financing Receivable, Net, Noncurrent, Total [Concept] Monetary As Of Debit us-gaap:LongTermAccountsNotesAndLoansReceivableNetNoncurrent
55 Accounts, Notes, Loans and Financing Receivable, Unclassified [Hierarchy] [Abstract]

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 us-gaap:AccountsAndNotesReceivableUnclassifiedAbstract
56 Accounts Receivable, Net [Roll Up] [Abstract]

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 us-gaap:AccountsReceivableNetAbstract
57 Accounts Receivable, Gross [Concept] Monetary As Of Debit us-gaap:AccountsReceivableGross
58 Allowance for Doubtful Accounts Receivable [Concept] Monetary As Of Credit us-gaap:AllowanceForDoubtfulAccountsReceivable
59 Accounts Receivable, Net, Total [Concept] Monetary As Of Debit us-gaap:AccountsReceivableNet
60 Notes, Loans and Financing Receivable, Net [Roll Up] [Abstract]

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 us-gaap:NotesReceivableNetAbstract
61 Notes, Loans and Financing Receivable, Gross [Concept] Monetary As Of Debit us-gaap:NotesReceivableGross
62 Allowance for Notes, Loans and Financing Receivable [Concept] Monetary As Of Credit us-gaap:AllowanceForNotesReceivable
63 Notes, Loans and Financing Receivable, Net, Total [Concept] Monetary As Of Debit us-gaap:NotesReceivableNet