Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2015

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

A summary of activity related to goodwill for the year endedDecember 31, 2015 follows (in thousands):

Balance at December 31, 2013	$	339,521
Acquisitions	959,232
Divestitures	—
Purchase price adjustments	—
Balance at December 31, 2014	$	1,298,753
Acquisitions	113,812
Divestitures	(8,399		)
Purchase price adjustments	3,761
Balance at December 31, 2015	$	1,407,927

Schedule of Intangible Assets, Excluding Goodwill

A summary of the activity related to intangible assets as of December 31, 2015 follows (in thousands):

	Physician Income Guarantees			Management Rights			Non-Compete Agreements			Certificates of Need		Customer Relationships			Other			Total Intangible Assets
Balance at December 31, 2013	$	—		$	377		$	16,123		$	—	$	7,665		$	2,811		$	26,976
Additions	1,081			24,700			3,500			3,711		—			242			33,234
Recruitment expense	(108		)	—			—			—		—			—			(108		)
Amortization	—			(320		)	(3,033		)	—		(1,391		)	(470		)	(5,214		)
Balance at December 31, 2014	$	973		$	24,757		$	16,590		$	3,711	$	6,274		$	2,583		$	54,888
Additions	1,052			—			7,532			—		—			—			8,584
Recruitment expense	(813		)	—			—			—		—			—			(813		)
Amortization	—			(1,731		)	(5,551		)	—		(1,338		)	(471		)	(9,091		)
Balance at December 31, 2015	$	1,212		$	23,026		$	18,571		$	3,711	$	4,936		$	2,112		$	53,568

Finite-lived Intangible Assets Amortization Schedule

A summary of the scheduled amortization related to the Company's finite-lived intangible assets as of December 31, 2015 follows (in thousands):

	Amortization of Finite-Lived Intangible Assets
2016	$	9,707
2017	8,220
2018	6,316
2019	5,764
2020	2,616
Thereafter	16,992
Total	$	49,615