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Supplemental Consolidating Financial Information (Schedule Of Condensed Consolidating Statements Of Operations And Comprehensive Income (Loss)) (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Revenues:              
Net patient service revenue $ 263,380 $ 245,950 $ 520,137 $ 459,858      
Management fees 15,211 16,856 31,081 33,453      
Other revenue 6,430 3,189 12,262 6,119      
(Loss) income from equity investment 188 (97) 212 (135)      
Total revenues 285,209 265,898 563,692 499,295      
Expenses:              
Salaries and benefits 147,397 135,803 294,356 261,712      
Medical supplies 24,774 24,502 51,065 46,236      
Facility rent expenses 16,922 17,167 33,797 32,662      
Other operating expenses 16,073 16,096 30,997 30,477      
General and administrative expenses 43,776 34,060 72,686 64,174      
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        
Equity initial public offering expenses   4,163   4,163      
Loss on sale leaseback transaction       135      
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 foreign currency transactions (31) 79 211 107      
Gain on foreign currency derivative contracts       (4)      
Total expenses 344,584 469,563 633,311 730,099      
Loss before income taxes (59,375) (203,665) (69,619) (230,804)      
Income tax (benefit) expense 3,088 934 5,778 3,040      
Net loss (62,463) (204,599) (75,397) (233,844) $ (349,300) $ (78,200) $ (151,100)
Net income attributable to noncontrolling interests - redeemable and non-redeemable (2,075) (2,925) (4,383) (3,861)      
Net loss attributable to 21st Century Oncology Holdings, Inc. shareholder (64,538) (207,524) (79,780) (237,705)      
Other comprehensive loss              
Unrealized comprehensive (loss) income: (2,062) (750) (4,497) (10,606)      
Comprehensive loss (64,525) (205,349) (79,894) (244,450)      
Comprehensive income attributable to noncontrolling interests-redeemable and non-redeemable: (1,866) (2,873) (3,931) (2,990)      
Comprehensive loss attributable to 21st Century Oncology Holdings, Inc. shareholder (66,391) (208,222) (83,825) (247,440)      
Parent [Member]              
Revenues:              
(Loss) income from equity investment (58,748) (204,012) (75,506) (243,196)      
Intercompany revenue 658   1,326        
Total revenues (58,090) (204,012) (74,180) (243,196)      
Expenses:              
Salaries and benefits 2 35 4 69      
General and administrative expenses   12   12      
Interest expense, net (1)   (1)        
Equity initial public offering expenses   4,163   4,163      
Fair value adjustment of noncontrolling interest and earn-out liability 3,083   3,083        
Fair value adjustment of embedded derivative 5,217   6,559        
Total expenses 8,301 4,210 9,645 4,244      
Loss before income taxes (66,391) (208,222) (83,825) (247,440)      
Net loss (66,391) (208,222) (83,825) (247,440)      
Net loss attributable to 21st Century Oncology Holdings, Inc. shareholder (66,391) (208,222) (83,825) (247,440)      
Other comprehensive loss              
Comprehensive loss (66,391) (208,222) (83,825) (247,440)      
Comprehensive loss attributable to 21st Century Oncology Holdings, Inc. shareholder (66,391) (208,222) (83,825) (247,440)      
21C [Member]              
Revenues:              
Other revenue 50 20 82 41      
(Loss) income from equity investment (5,271) (181,789) (1,554) (199,226)      
Intercompany revenue 367 238 706 445      
Total revenues (4,854) (181,531) (766) (198,740)      
Expenses:              
General and administrative expenses 549 233 1,091 364      
Interest expense, net 21,496 22,295 42,573 44,214      
Early extinguishment of debt 31,076   31,076        
Gain on foreign currency derivative contracts       (4)      
Total expenses 53,121 22,528 74,740 44,574      
Loss before income taxes (57,975) (204,059) (75,506) (243,314)      
Income tax (benefit) expense   430   380      
Net loss (57,975) (204,489) (75,506) (243,694)      
Net loss attributable to 21st Century Oncology Holdings, Inc. shareholder (57,975) (204,489) (75,506) (243,694)      
Other comprehensive loss              
Comprehensive loss (57,975) (204,489) (75,506) (243,694)      
Comprehensive loss attributable to 21st Century Oncology Holdings, Inc. shareholder (57,975) (204,489) (75,506) (243,694)      
Subsidiary Guarantors [Member]              
Revenues:              
Net patient service revenue 140,358 133,854 278,822 264,592      
Management fees 14,652 16,526 30,142 32,845      
Other revenue 5,514 2,955 9,416 5,554      
(Loss) income from equity investment 5,954 2,014 7,982 (6,102)      
Intercompany revenue 21,053 23,088 40,022 42,293      
Total revenues 187,531 178,437 366,384 339,182      
Expenses:              
Salaries and benefits 91,007 88,555 184,283 180,926      
Medical supplies 16,547 17,427 34,067 32,964      
Facility rent expenses 11,496 11,573 22,857 23,252      
Other operating expenses 9,800 10,227 17,644 19,126      
General and administrative expenses 35,373 27,636 57,012 52,820      
Depreciation and amortization 17,142 17,739 34,776 35,078      
Provision for doubtful accounts 2,036 2,566 4,362 5,357      
Interest expense, net 2,325 4,216 6,371 8,051      
Impairment loss   182,000   182,000      
Early extinguishment of debt 6,314   6,314        
Electronic health records incentive payment (114) 7   75      
Loss on sale leaseback transaction       135      
Fair value adjustment of noncontrolling interest and earn-out liability (110) 204 122 403      
Total expenses 191,816 362,150 367,808 540,187      
Loss before income taxes (4,285) (183,713) (1,424) (201,005)      
Income tax (benefit) expense 15 (1,632) (30) (1,631)      
Net loss (4,300) (182,081) (1,394) (199,374)      
Net loss attributable to 21st Century Oncology Holdings, Inc. shareholder (4,300) (182,081) (1,394) (199,374)      
Other comprehensive loss              
Comprehensive loss (4,300) (182,081) (1,394) (199,374)      
Comprehensive loss attributable to 21st Century Oncology Holdings, Inc. shareholder (4,300) (182,081) (1,394) (199,374)      
Subsidiary Non-Guarantors [Member]              
Revenues:              
Net patient service revenue 123,022 112,096 241,315 195,266      
Management fees 559 330 939 608      
Other revenue 866 214 2,764 524      
(Loss) income from equity investment 7   20 9      
Total revenues 124,454 112,640 245,038 196,407      
Expenses:              
Salaries and benefits 56,388 47,213 110,069 80,717      
Medical supplies 8,227 7,075 16,998 13,272      
Facility rent expenses 5,426 5,594 10,940 9,410      
Other operating expenses 6,273 5,869 13,353 11,351      
General and administrative expenses 7,854 6,179 14,583 10,978      
Depreciation and amortization 5,100 4,423 10,035 7,806      
Provision for doubtful accounts 1,717 862 3,859 2,367      
Interest expense, net 506 3,388 1,070 5,161      
Electronic health records incentive payment 114 (7)   (75)      
Fair value adjustment of noncontrolling interest and earn-out liability (228)            
Loss on foreign currency transactions (31) 79 211 107      
Intercompany expenses 22,078 23,326 42,054 42,738      
Total expenses 113,424 104,001 223,172 183,832      
Loss before income taxes 11,030 8,639 21,866 12,575      
Income tax (benefit) expense 3,073 2,136 5,808 4,291      
Net loss 7,957 6,503 16,058 8,284      
Net income attributable to noncontrolling interests - redeemable and non-redeemable 952 (1,487)   (1,985)      
Net loss attributable to 21st Century Oncology Holdings, Inc. shareholder 8,909 5,016 16,058 6,299      
Other comprehensive loss              
Unrealized comprehensive (loss) income: (2,062) (750) (4,497) (10,606)      
Comprehensive loss 5,895 5,753 11,561 (2,322)      
Comprehensive loss attributable to 21st Century Oncology Holdings, Inc. shareholder 5,895 5,753 11,561 (2,322)      
Eliminations [Member]              
Revenues:              
(Loss) income from equity investment 58,246 383,690 69,270 448,380      
Intercompany revenue (22,078) (23,326) (42,054) (42,738)      
Total revenues 36,168 360,364 27,216 405,642      
Expenses:              
Intercompany expenses (22,078) (23,326) (42,054) (42,738)      
Total expenses (22,078) (23,326) (42,054) (42,738)      
Loss before income taxes 58,246 383,690 69,270 448,380      
Net loss 58,246 383,690 69,270 448,380      
Net income attributable to noncontrolling interests - redeemable and non-redeemable (3,027) (1,438) (4,383) (1,876)      
Net loss attributable to 21st Century Oncology Holdings, Inc. shareholder 55,219 382,252 64,887 446,504      
Other comprehensive loss              
Comprehensive loss 58,246 383,690 69,270 448,380      
Comprehensive income attributable to noncontrolling interests-redeemable and non-redeemable: (1,866) (2,873) (3,931) (2,990)      
Comprehensive loss attributable to 21st Century Oncology Holdings, Inc. shareholder $ 56,380 $ 380,817 $ 65,339 $ 445,390