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Segment And Geographic Information (Schedule Of Reconciliation Of The Company's Reportable Segment Profit And Loss) (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Reconciliation Of The Company's Reportable Segment Profit And Loss        
Facility gross profit $ 89,729 $ 82,524 $ 172,174 $ 149,794
General and administrative expenses 43,776 34,060 72,686 64,174
General and administrative salaries 147,397 135,803 294,356 261,712
General and administrative depreciation and amortization 22,242 22,162 44,811 42,884
Provision for doubtful accounts 3,753 3,428 8,221 7,724
Interest expense, net 24,326 29,899 50,013 57,426
Impairment loss   182,000   182,000
Early extinguishment of debt 37,390   37,390  
Fair value adjustment of noncontrolling interest and earn-out liability 2,745 204 3,205 403
Fair value adjustment of embedded derivative 5,217   6,559  
Loss on sale leaseback transaction       135
Foreign currency transaction loss (31) 79 211 107
Gain on foreign currency derivative contracts       (4)
Loss before income taxes (59,375) (203,665) (69,619) (230,804)
Reportable Segment [Member]        
Reconciliation Of The Company's Reportable Segment Profit And Loss        
Facility gross profit 89,729 82,524 172,174 149,794
General and administrative expenses 43,776 34,060 72,686 64,174
General and administrative salaries 27,977 27,958 55,564 55,262
General and administrative depreciation and amortization 3,951 4,398 7,944 9,208
Provision for doubtful accounts 3,753 3,428 8,221 7,724
Interest expense, net 24,326 29,899 50,013 57,426
Impairment loss   182,000   182,000
Early extinguishment of debt 37,390   37,390  
Equity IPO expenses   4,163   4,163
Fair value adjustment of noncontrolling interest and earn-out liability 2,745 204 3,205 403
Fair value adjustment of embedded derivative 5,217   6,559  
Loss on sale leaseback transaction       135
Foreign currency transaction loss (31) 79 211 107
Gain on foreign currency derivative contracts       (4)
Loss before income taxes $ (59,375) $ (203,665) $ (69,619) $ (230,804)