Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2016

Goodwill and Intangible Assets Disclosure [Abstract]

Summary of activity related to goodwill

A summary of activity related to goodwill for the year endedDecember 31, 2016 follows (in thousands):

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
Acquisitions	147,895
Divestitures	(552		)
Purchase price adjustments	(66		)
Balance at December 31, 2016	$	1,555,204

Summary of activity related to intangible assets

A summary of the activity related to intangible assets as of December 31, 2016 follows (in thousands):

	Physician Income Guarantees			Management Rights			Non-Compete Agreements			Certificates of Need		Customer Relationships			Other			Total Intangible Assets
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
Additions	210			—			4,025			69		—			450			4,754
Disposals	—			—			—			—		(22		)	(113		)	(135		)
Recruitment expense	(609		)	—			—			—		—			—			(609		)
Amortization	—			(1,736		)	(6,139		)	—		(1,210		)	(470		)	(9,555		)
Balance at December 31, 2016	$	813		$	21,290		$	16,457		$	3,780	$	3,704		$	1,979		$	48,023

Summary of scheduled amortization

A summary of the scheduled amortization related to the Company's finite-lived intangible assets as of December 31, 2016 follows (in thousands):

	Amortization of Finite-Lived Intangible Assets
2016	$	9,042
2017	6,923
2018	6,393
2019	4,023
2020	2,960
Thereafter	14,660
Total	$	44,001