| Goodwill And Intangible Assets Disclosure [Abstract] | Period [Axis] |
|---|
2016-01-01 - 2016-12-31 |
|---|
Goodwill And Intangible Assets Disclosure [Abstract] | |
Schedule of Changes in Carrying Amount of Goodwill |
The following table shows changes in the carrying amount of goodwill for the years-ended December 31, 2016 and December 31, 2015:
|
|
|
YEAR-ENDED |
|
|
YEAR-ENDED |
|
|
|
|
DECEMBER 31, |
|
|
DECEMBER 31, |
|
|
|
|
2016 |
|
|
2015 |
|
|
Balance at beginning of period |
|
$ |
1,061,088 |
|
|
$ |
902,391 |
|
|
Acquisitions (see Note 2) |
|
|
399,325 |
|
|
|
165,419 |
|
|
Deconsolidations (see Note 2) |
|
|
(137 |
) |
|
|
(4,148 |
) |
|
Sales |
|
|
— |
|
|
|
(2,503 |
) |
|
Closure and other (1) |
|
|
(5,150 |
) |
|
|
(71 |
) |
|
Balance at end of period |
|
$ |
1,455,126 |
|
|
$ |
1,061,088 |
|
|
|
(1) |
Includes corrections of an $8.8 million decrease related to business combinations during prior years and a $2.9 million increase related to sales and syndications of investments in consolidated facilities during prior years (see Note 3). |
|
Summary of Information Regarding Other Intangible Assets |
The following table provides information regarding our other intangible assets:
|
|
|
AS OF DECEMBER 31, |
|
|
|
|
2016 |
|
|
2015 |
|
|
Certificates of need |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
33,414 |
|
|
$ |
22,114 |
|
|
Accumulated amortization |
|
|
(12,116 |
) |
|
|
(10,455 |
) |
|
Net |
|
$ |
21,298 |
|
|
$ |
11,659 |
|
|
Management agreements |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
100,484 |
|
|
$ |
79,773 |
|
|
Accumulated amortization |
|
|
(30,162 |
) |
|
|
(23,972 |
) |
|
Net |
|
$ |
70,322 |
|
|
$ |
55,801 |
|
|
Licenses |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
34,441 |
|
|
$ |
20,980 |
|
|
Accumulated amortization |
|
|
(6,698 |
) |
|
|
(3,472 |
) |
|
Net |
|
$ |
27,743 |
|
|
$ |
17,508 |
|
|
Noncompete agreements |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
52,414 |
|
|
$ |
34,816 |
|
|
Accumulated amortization |
|
|
(19,954 |
) |
|
|
(10,596 |
) |
|
Net |
|
$ |
32,460 |
|
|
$ |
24,220 |
|
|
Total other intangible assets |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
220,753 |
|
|
$ |
157,683 |
|
|
Accumulated amortization |
|
|
(68,930 |
) |
|
|
(48,495 |
) |
|
Net |
|
$ |
151,823 |
|
|
$ |
109,188 |
|
|
Schedule of Amortization Expense for Other Intangible Assets |
Amortization expense for other intangible assets is as follows:
|
|
|
YEAR-ENDED |
|
|
YEAR-ENDED |
|
|
YEAR-ENDED |
|
|
|
|
DECEMBER 31, |
|
|
DECEMBER 31, |
|
|
DECEMBER 31, |
|
|
|
|
2016 |
|
|
2015 |
|
|
2014 |
|
|
Amortization expense |
|
$ |
20,293 |
|
|
$ |
14,276 |
|
|
$ |
10,114 |
|
|
Schedule of Estimated Amortization Expense for Other Intangible Assets |
Total estimated amortization expense for our other intangible assets for the next five years is as follows:
|
|
|
ESTIMATED |
|
|
|
|
AMORTIZATION |
|
|
YEAR ENDING DECEMBER 31, |
|
EXPENSE |
|
|
2017 |
|
$ |
21,777 |
|
|
2018 |
|
|
19,829 |
|
|
2019 |
|
|
15,705 |
|
|
2020 |
|
|
13,012 |
|
|
2021 |
|
|
11,104 |
|
|