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Basis of Presentation (Details) (USD $)
Mar. 31, 2015
center
Dec. 31, 2014
Ownership Interests [Line Items]    
Number of ownership interests of less than 51% 13amsg_NumberOfCentersOwnedLessThan51Percent  
Restricted Cash and Marketable Securities    
Restricted cash and marketable securities, total $ 30,300,000us-gaap_RestrictedCashAndInvestments  
Restricted cash and marketable securities, current 10,957,000us-gaap_RestrictedCashAndInvestmentsCurrent 10,219,000us-gaap_RestrictedCashAndInvestmentsCurrent
Restricted cash and investments, noncurrent 19,300,000us-gaap_RestrictedCashAndInvestmentsNoncurrent  
Restricted marketable securities $ 3,000,000us-gaap_MarketableSecuritiesRestrictedCurrent  
Consolidated [Member]    
Ownership Interests [Line Items]    
Number of ownership interests of less than 51% 2amsg_NumberOfCentersOwnedLessThan51Percent
/ amsg_ConsolidationTypeAxis
= amsg_ConsolidatedMember
 
Nonconsolidated [Member]    
Ownership Interests [Line Items]    
Number of ownership interests of less than 51% 11amsg_NumberOfCentersOwnedLessThan51Percent
/ amsg_ConsolidationTypeAxis
= amsg_NonconsolidatedMember