Goodwill and Intangible Assets Disclosure [Abstract] | Period [Axis] |
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2015-01-01 - 2015-12-31 |
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Goodwill and Intangible Assets Disclosure [Abstract] | |
Changes In Carrying Amount Of Goodwill | The changes in the carrying amount of goodwill for the years ended December 31, 2015 and 2014 are as follows (in thousands): | | | | | | | | | | 2015 | | 2014 | Balance, beginning of year | $ | 3,381,149 |
| | $ | 1,758,970 |
| Goodwill acquired, including post acquisition adjustments | 674,476 |
| | 1,636,521 |
| Goodwill disposed, including impact of deconsolidation transactions | (85,415 | ) | | (14,342 | ) | Balance, end of year | $ | 3,970,210 |
| | $ | 3,381,149 |
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Schedule of Finite-Lived Intangible Assets | Intangible assets at December 31, 2015 and 2014 consisted of the following (in thousands): | | | | | | | | | | | | | | | | | | | | | | | | | | 2015 | | 2014 | | Gross | | | | | | Gross | | | | | | Carrying | | Accumulated | | | | Carrying | | Accumulated | | | | Amount | | Amortization | | Net | | Amount | | Amortization | | Net | Amortizable intangible assets: | | | | | | | | | | | | Customer relationships with hospitals | $ | 1,379,977 |
| | $ | (74,490 | ) | | $ | 1,305,487 |
| | $ | 971,645 |
| | $ | (22,145 | ) | | $ | 949,500 |
| Deferred financing costs | 60,664 |
| | (13,490 | ) | | 47,174 |
| | 59,574 |
| | (5,151 | ) | | 54,423 |
| Capitalized software | 71,462 |
| | (28,125 | ) | | 43,337 |
| | 50,387 |
| | (19,197 | ) | | 31,190 |
| Agreements, contracts and other | 11,267 |
| | (2,449 | ) | | 8,818 |
| | 3,523 |
| | (2,752 | ) | | 771 |
| Total amortizable intangible assets | 1,523,370 |
| | (118,554 | ) | | 1,404,816 |
| | 1,085,129 |
| | (49,245 | ) | | 1,035,884 |
| Non-amortizable intangible assets: | | | | | | | | | | | | Trade name | 228,000 |
| | — |
| | 228,000 |
| | 228,000 |
| | — |
| | 228,000 |
| Restrictive covenant arrangements | 8,995 |
| | — |
| | 8,995 |
| | 9,995 |
| | — |
| | 9,995 |
| Total non-amortizable intangible assets | 236,995 |
| | — |
| | 236,995 |
| | 237,995 |
| | — |
| | 237,995 |
| Total intangible assets | $ | 1,760,365 |
| | $ | (118,554 | ) | | $ | 1,641,811 |
| | $ | 1,323,124 |
| | $ | (49,245 | ) | | $ | 1,273,879 |
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Schedule of Indefinite-Lived Intangible Assets | Intangible assets at December 31, 2015 and 2014 consisted of the following (in thousands): | | | | | | | | | | | | | | | | | | | | | | | | | | 2015 | | 2014 | | Gross | | | | | | Gross | | | | | | Carrying | | Accumulated | | | | Carrying | | Accumulated | | | | Amount | | Amortization | | Net | | Amount | | Amortization | | Net | Amortizable intangible assets: | | | | | | | | | | | | Customer relationships with hospitals | $ | 1,379,977 |
| | $ | (74,490 | ) | | $ | 1,305,487 |
| | $ | 971,645 |
| | $ | (22,145 | ) | | $ | 949,500 |
| Deferred financing costs | 60,664 |
| | (13,490 | ) | | 47,174 |
| | 59,574 |
| | (5,151 | ) | | 54,423 |
| Capitalized software | 71,462 |
| | (28,125 | ) | | 43,337 |
| | 50,387 |
| | (19,197 | ) | | 31,190 |
| Agreements, contracts and other | 11,267 |
| | (2,449 | ) | | 8,818 |
| | 3,523 |
| | (2,752 | ) | | 771 |
| Total amortizable intangible assets | 1,523,370 |
| | (118,554 | ) | | 1,404,816 |
| | 1,085,129 |
| | (49,245 | ) | | 1,035,884 |
| Non-amortizable intangible assets: | | | | | | | | | | | | Trade name | 228,000 |
| | — |
| | 228,000 |
| | 228,000 |
| | — |
| | 228,000 |
| Restrictive covenant arrangements | 8,995 |
| | — |
| | 8,995 |
| | 9,995 |
| | — |
| | 9,995 |
| Total non-amortizable intangible assets | 236,995 |
| | — |
| | 236,995 |
| | 237,995 |
| | — |
| | 237,995 |
| Total intangible assets | $ | 1,760,365 |
| | $ | (118,554 | ) | | $ | 1,641,811 |
| | $ | 1,323,124 |
| | $ | (49,245 | ) | | $ | 1,273,879 |
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