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Goodwill And Intangible Assets (Narrative) (Details) (USD $)
12 Months Ended 3 Months Ended 6 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2014
physician_practice
Dec. 31, 2014
physician_practice
Segment Reporting Information [Line Items]          
Goodwill $ 3,381,149,000us-gaap_Goodwill $ 1,758,970,000us-gaap_Goodwill $ 1,652,002,000us-gaap_Goodwill 3,381,149,000us-gaap_Goodwill 3,381,149,000us-gaap_Goodwill
Increase in goodwill 1,636,521,000us-gaap_GoodwillAcquiredDuringPeriod 112,951,000us-gaap_GoodwillAcquiredDuringPeriod      
Amortization period 18 years 110 days        
Debt extinguishment costs 4,536,000us-gaap_WriteOffOfDeferredDebtIssuanceCost 0us-gaap_WriteOffOfDeferredDebtIssuanceCost 0us-gaap_WriteOffOfDeferredDebtIssuanceCost    
Amortization of Intangible Assets 32,500,000us-gaap_AmortizationOfIntangibleAssets 2,200,000us-gaap_AmortizationOfIntangibleAssets 1,400,000us-gaap_AmortizationOfIntangibleAssets    
Estimated amortization of intangible assets, 2015 64,700,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths     64,700,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths 64,700,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
Estimated amortization of intangible assets, 2016 63,800,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo     63,800,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo 63,800,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
Estimated amortization of intangible assets, 2017 62,500,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree     62,500,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree 62,500,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
Estimated amortization of intangible assets, 2018 61,600,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour     61,600,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour 61,600,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
Estimated amortization of intangible assets, 2019 59,100,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive     59,100,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive 59,100,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
Estimated amortization of intangible assets, 2020 and thereafter 724,200,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive     724,200,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive 724,200,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
Ambulatory Services [Member]          
Segment Reporting Information [Line Items]          
Goodwill 1,900,000,000us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
    1,900,000,000us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
1,900,000,000us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
Increase in goodwill 131,200,000us-gaap_GoodwillAcquiredDuringPeriod
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
       
Goodwill deductible for tax purposes 51,700,000us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
70,200,000us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
  51,700,000us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
51,700,000us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
Physician Services [Member]          
Segment Reporting Information [Line Items]          
Goodwill 1,500,000,000us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
    1,500,000,000us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
1,500,000,000us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
Goodwill deductible for tax purposes 12,800,000us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
    12,800,000us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
12,800,000us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
Sheridan Healthcare [Member]          
Segment Reporting Information [Line Items]          
Goodwill 1,534,656,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
[1]     1,534,656,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
[1] 1,534,656,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
[1]
Deferred financing costs 53,000,000us-gaap_DeferredFinanceCostsGross
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
    53,000,000us-gaap_DeferredFinanceCostsGross
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
53,000,000us-gaap_DeferredFinanceCostsGross
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
Debt extinguishment costs 4,500,000us-gaap_WriteOffOfDeferredDebtIssuanceCost
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
       
Intangible assets 1,200,028,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
[1]     1,200,028,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
[1] 1,200,028,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
[1]
Amount estimated to be amortized over weighted average period 1,000,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
    1,000,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
1,000,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
Weighted average period of amortization 20 years        
Series of Individually Immaterial Business Acquisitions [Member]          
Segment Reporting Information [Line Items]          
Goodwill 101,865,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
116,243,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
  101,865,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
101,865,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Intangible assets 14,207,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
0us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
  14,207,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
14,207,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Series of Individually Immaterial Business Acquisitions [Member] | Physician Services [Member]          
Segment Reporting Information [Line Items]          
Number of business acquisitions       2us-gaap_NumberOfBusinessesAcquired
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
2us-gaap_NumberOfBusinessesAcquired
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
Interest Expense [Member] | Bridge Loan [Member] | Sheridan Healthcare [Member]          
Segment Reporting Information [Line Items]          
Fees paid to obtain a commitment for financing $ 12,800,000us-gaap_LoanProcessingFee
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_InterestExpenseMember
/ us-gaap_ShortTermDebtTypeAxis
= us-gaap_BridgeLoanMember
       
Customer Relationships [Member]          
Segment Reporting Information [Line Items]          
Amortization period 20 years        
Deferred Financing Costs, Amortizable Non-Compete Agreements, and Customer Agreements [Member] | Minimum [Member]          
Segment Reporting Information [Line Items]          
Amortization period 5 years        
Deferred Financing Costs, Amortizable Non-Compete Agreements, and Customer Agreements [Member] | Maximum [Member]          
Segment Reporting Information [Line Items]          
Amortization period 10 years        
Capitalized software [Member] | Minimum [Member]          
Segment Reporting Information [Line Items]          
Amortization period 3 years        
Capitalized software [Member] | Maximum [Member]          
Segment Reporting Information [Line Items]          
Amortization period 8 years        
[1] allocation of fair value of acquired assets and liabilities associated with these acquisitions at December 31, 2014.