Goodwill And Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2015

Goodwill and Intangible Assets Disclosure [Abstract]

Changes In Carrying Amount Of Goodwill

The changes in the carrying amount of goodwill for the three months ended March 31, 2015 are as follows (in thousands):

Balance at December 31, 2014	$	3,381,149
Goodwill acquired, including post acquisition adjustments	120,588
Goodwill disposed, including impact of deconsolidation transactions	(1,069		)
Balance at March 31, 2015	$	3,500,668

Schedule of Finite-Lived Intangible Assets

Intangible assets at March 31, 2015 and December 31, 2014 consisted of the following (in thousands):

	March 31, 2015							December 31, 2014
	Gross							Gross
	Carrying		Accumulated					Carrying		Accumulated
	Amount		Amortization			Net		Amount		Amortization			Net
Amortizable intangible assets:
Customer relationships with hospitals	$	1,015,763	$	(34,545	)	$	981,218	$	971,645	$	(22,145	)	$	949,500
Deferred financing cost	59,660		(7,225		)	52,435		59,574		(5,151		)	54,423
Capitalized software	54,529		(21,136		)	33,393		50,387		(19,197		)	31,190
Agreements, contracts and other	4,068		(2,842		)	1,226		3,523		(2,752		)	771
Total amortizable intangible assets	1,134,020		(65,748		)	1,068,272		1,085,129		(49,245		)	1,035,884
Non-amortizable intangible assets:
Trade name	228,000		—			228,000		228,000		—			228,000
Restrictive covenant arrangements	9,995		—			9,995		9,995		—			9,995
Total non-amortizable intangible assets	237,995		—			237,995		237,995		—			237,995
Total intangible assets	$	1,372,015	$	(65,748	)	$	1,306,267	$	1,323,124	$	(49,245	)	$	1,273,879