Summary of Other Accrued Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Accrued Liabilities And Other Liabilities [Abstract]
Accrued litigation contingency	$ 150,895	$ 19,554
Accrued interest	70,661	33,399
Patient accounts	60,530	38,504
Taxes other than income	33,766	27,140
Accrued room and board	16,954
Accrued hospice medical supplies and drugs	12,587
Accrued acquisition and divestiture costs	1,462	49,655
Other	47,391	21,728
Other accrued liabilities	$ 394,246	$ 189,980