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Long-Term Debt (Narrative) (Details) (USD $)
3 Months Ended 12 Months Ended 0 Months Ended 6 Months Ended
Sep. 30, 2014
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Jul. 16, 2014
Jul. 15, 2014
Nov. 20, 2012
Nov. 07, 2012
Nov. 06, 2012
May 28, 2010
Payments required on Company's long-term debt and capital leases                    
2015   $ 18,800,000us-gaap_LongTermDebtAndCapitalLeaseObligationsRepaymentsOfPrincipalInNextTwelveMonths                
2016   15,900,000us-gaap_LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearTwo                
2017   13,700,000us-gaap_LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearThree                
2018   11,400,000us-gaap_LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearFour                
2019   10,200,000us-gaap_LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalInYearFive                
Thereafter   2,181,000,000us-gaap_LongTermDebtAndCapitalLeaseObligationsMaturitiesRepaymentsOfPrincipalAfterYearFive                
Term Loan and Credit Facility                    
Debt extinguishment costs (16,900,000)us-gaap_GainsLossesOnExtinguishmentOfDebt (16,887,000)us-gaap_GainsLossesOnExtinguishmentOfDebt 0us-gaap_GainsLossesOnExtinguishmentOfDebt 0us-gaap_GainsLossesOnExtinguishmentOfDebt            
Loans Payable [Member]                    
Other Debt                    
Book value of certain assets of surgery centers pledged as collateral   47,800,000us-gaap_DebtInstrumentCollateralAmount
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Fixed Interest Rate [Member]                    
Payments required on Company's long-term debt and capital leases                    
Long-term debt, carrying value   1,383,400,000us-gaap_LongTermDebt
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Long-term debt, fair value   1,418,600,000us-gaap_LongTermDebtFairValue
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Variable Interest Rate [Member]                    
Payments required on Company's long-term debt and capital leases                    
Long-term debt, fair value   867,600,000us-gaap_LongTermDebtFairValue
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5.625% Senior Unsecured Notes due 2020 [Member] | Senior Notes [Member]                    
Payments required on Company's long-term debt and capital leases                    
Long-term debt, carrying value   250,000,000us-gaap_LongTermDebt
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Senior Unsecured Debt                    
Face amount             250,000,000.0us-gaap_DebtInstrumentFaceAmount
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Interest rate             5.625%us-gaap_DebtInstrumentInterestRateStatedPercentage
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Redeemable principal percentage   35.00%amsg_RedeemablePrincipalPercentage
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Senior Secured Debt                    
Face amount             250,000,000.0us-gaap_DebtInstrumentFaceAmount
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Interest rate             5.625%us-gaap_DebtInstrumentInterestRateStatedPercentage
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5.625% Senior Unsecured Notes due 2022 [Member] | Senior Notes [Member]                    
Payments required on Company's long-term debt and capital leases                    
Long-term debt, carrying value   1,100,000,000us-gaap_LongTermDebt
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0us-gaap_LongTermDebt
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Senior Unsecured Debt                    
Face amount         1,100,000,000.0us-gaap_DebtInstrumentFaceAmount
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Interest rate         5.625%us-gaap_DebtInstrumentInterestRateStatedPercentage
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Redeemable principal percentage   35.00%amsg_RedeemablePrincipalPercentage
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Senior Secured Debt                    
Face amount         1,100,000,000.0us-gaap_DebtInstrumentFaceAmount
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Interest rate         5.625%us-gaap_DebtInstrumentInterestRateStatedPercentage
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8.04% Senior Secured Notes due 2020 [Member] | Senior Notes [Member]                    
Payments required on Company's long-term debt and capital leases                    
Long-term debt, carrying value   0us-gaap_LongTermDebt
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69,643,000us-gaap_LongTermDebt
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Senior Unsecured Debt                    
Face amount                   75,000,000.0us-gaap_DebtInstrumentFaceAmount
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Interest rate               8.04%us-gaap_DebtInstrumentInterestRateStatedPercentage
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6.04%us-gaap_DebtInstrumentInterestRateStatedPercentage
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Senior Secured Debt                    
Face amount                   75,000,000.0us-gaap_DebtInstrumentFaceAmount
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Interest rate               8.04%us-gaap_DebtInstrumentInterestRateStatedPercentage
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6.04%us-gaap_DebtInstrumentInterestRateStatedPercentage
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Early termination fee   12,400,000us-gaap_PaymentsOfDebtExtinguishmentCosts
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Period Prior to November 30, 2015 [Member] | 5.625% Senior Unsecured Notes due 2020 [Member] | Senior Notes [Member]                    
Senior Unsecured Debt                    
Redemption price as percent of the principal amount   105.625%us-gaap_DebtInstrumentRedemptionPricePercentage
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Period Prior to July 15, 2017 [Member] | 5.625% Senior Unsecured Notes due 2022 [Member] | Senior Notes [Member]                    
Senior Unsecured Debt                    
Redemption price as percent of the principal amount   105.625%us-gaap_DebtInstrumentRedemptionPricePercentage
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Senior Secured Credit Facility - Term Loan [Member]                    
Term Loan and Credit Facility                    
Borrowing capacity of new revolving credit agreement         870,000,000.0us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
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Quarterly principal payment as a percent of face amount         0.25%amsg_DebtInstrumentPeriodicPaymentPercentofPrincipal
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Annual principal payment         8,700,000us-gaap_DebtInstrumentAnnualPrincipalPayment
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Revolving Credit Facility [Member]                    
Term Loan and Credit Facility                    
Borrowing capacity of new revolving credit agreement         300,000,000.0us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
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475,000,000.0us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
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Unused commitment fee as a percent         0.375%us-gaap_LineOfCreditFacilityUnusedCapacityCommitmentFeePercentage
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Quarterly installments as a percent of initial principal amount of term loan         0.25%amsg_LineofCreditPeriodPaymentPrincipalPercentage
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Debt extinguishment costs   4,500,000us-gaap_GainsLossesOnExtinguishmentOfDebt
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Senior Secured Credit Facility [Member]                    
Term Loan and Credit Facility                    
Maximum increase in borrowing capacity         $ 300,000,000.0amsg_LineofCreditFacilityMaximumIncreaseinBorrowingCapacity
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Base Rate [Member] | Senior Secured Credit Facility - Term Loan [Member] | Maximum [Member]                    
Term Loan and Credit Facility                    
Basis spread         2.00%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
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Base Rate [Member] | Senior Secured Credit Facility - Term Loan [Member] | Minimum [Member]                    
Term Loan and Credit Facility                    
Basis spread         1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
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Base Rate [Member] | Revolving Credit Facility [Member] | Maximum [Member]                    
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Basis spread         2.00%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
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Basis spread         1.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
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Term Loan and Credit Facility                    
Floor rate         0.75%amsg_DebtInstrumentVariableRateFloor
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