Goodwill And Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2014

Goodwill and Intangible Assets Disclosure [Abstract]

Changes In Carrying Amount Of Goodwill

The changes in the carrying amount of goodwill for the nine months ended September 30, 2014 are as follows (in thousands):

Balance at December 31, 2013	$	1,758,970
Goodwill acquired, including post acquisition adjustments	1,557,032
Goodwill disposed, including impact of deconsolidation transactions	(12,184		)
Balance at September 30, 2014	$	3,303,818

Schedule of Finite-Lived Intangible Assets

Intangible assets at September 30, 2014 and December 31, 2013 consisted of the following (in thousands):

	September 30, 2014							December 31, 2013
	Gross							Gross
	Carrying		Accumulated					Carrying		Accumulated
	Amount		Amortization			Net		Amount		Amortization			Net
Amortizable intangible assets:
Customer relationships with hospitals	$	957,000	$	(9,969	)	$	947,031	$	—	$	—		$	—
Deferred financing cost	59,441		(3,086		)	56,355		15,814		(4,953		)	10,861
Capitalized software	37,519		(17,716		)	19,803		21,036		(14,831		)	6,205
Agreements, contracts and other	3,448		(2,680		)	768		3,448		(2,472		)	976
Total amortizable intangible assets	1,057,408		(33,451		)	1,023,957		40,298		(22,256		)	18,042
Non-amortizable intangible assets:
Trade name	228,000		—			228,000		—		—			—
Restrictive covenant arrangements	9,995		—			9,995		9,825		—			9,825
Total non-amortizable intangible assets	237,995		—			237,995		9,825		—			9,825
Total intangible assets	$	1,295,403	$	(33,451	)	$	1,261,952	$	50,123	$	(22,256	)	$	27,867