Goodwill And Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2014

Goodwill and Intangible Assets Disclosure [Abstract]

Changes In Carrying Amount Of Goodwill

The changes in the carrying amount of goodwill for the years ended December 31, 2014 and 2013 are as follows (in thousands):

	2014			2013
Balance, beginning of year	$	1,758,970		$	1,652,002
Goodwill acquired, including post acquisition adjustments	1,636,521			112,951
Goodwill disposed, including impact of deconsolidation transactions	(14,342		)	(5,983		)
Balance, end of year	$	3,381,149		$	1,758,970

Schedule of Finite-Lived Intangible Assets

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

	2014							2013
	Gross							Gross
	Carrying		Accumulated					Carrying		Accumulated
	Amount		Amortization			Net		Amount		Amortization			Net
Amortizable intangible assets:
Customer relationships with hospitals	$	971,645	$	(22,145	)	$	949,500	$	—	$	—		$	—
Deferred financing costs	59,574		(5,151		)	54,423		15,814		(4,953		)	10,861
Capitalized software	50,387		(19,197		)	31,190		21,036		(14,831		)	6,205
Agreements, contracts and other	3,523		(2,752		)	771		3,448		(2,472		)	976
Total amortizable intangible assets	1,085,129		(49,245		)	1,035,884		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	$	1,323,124	$	(49,245	)	$	1,273,879	$	50,123	$	(22,256	)	$	27,867