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Goodwill And Intangible Assets (Summary Of Intangible Assets) (Details) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Indefinite-lived Intangible Assets [Line Items]    
Non-amortizable intangible assets $ 237,995us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill $ 9,825us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 1,085,129us-gaap_FiniteLivedIntangibleAssetsGross 40,298us-gaap_FiniteLivedIntangibleAssetsGross
Accumulated Amortization (49,245)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization (22,256)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
Net 1,035,884us-gaap_FiniteLivedIntangibleAssetsNet 18,042us-gaap_FiniteLivedIntangibleAssetsNet
Total intangible assets, gross carrying amount 1,323,124us-gaap_IntangibleAssetsGrossExcludingGoodwill 50,123us-gaap_IntangibleAssetsGrossExcludingGoodwill
Accumulated Amortization (49,245)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization (22,256)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
Total intangible assets, net 1,273,879us-gaap_IntangibleAssetsNetExcludingGoodwill 27,867us-gaap_IntangibleAssetsNetExcludingGoodwill
Customer relationships with hospitals [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 971,645us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
0us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Accumulated Amortization (22,145)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
0us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Net 949,500us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
0us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Accumulated Amortization (22,145)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
0us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Deferred financing cost [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 59,574us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
15,814us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Accumulated Amortization (5,151)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
(4,953)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Net 54,423us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
10,861us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Accumulated Amortization (5,151)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
(4,953)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Capitalized software [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 50,387us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
21,036us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Accumulated Amortization (19,197)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
(14,831)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Net 31,190us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
6,205us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Accumulated Amortization (19,197)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
(14,831)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Agreements, contracts, and other intangible assets    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 3,523us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
3,448us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Accumulated Amortization (2,752)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
(2,472)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Net 771us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
976us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Accumulated Amortization (2,752)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
(2,472)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Trade name [Member]    
Indefinite-lived Intangible Assets [Line Items]    
Non-amortizable intangible assets 228,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_TradeNamesMember
0us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_TradeNamesMember
Restrictive covenant arrangements [Member]    
Indefinite-lived Intangible Assets [Line Items]    
Non-amortizable intangible assets $ 9,995us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_RestrictiveCovenantArrangementsMember
$ 9,825us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_RestrictiveCovenantArrangementsMember