XML 45 R35.htm IDEA: XBRL DOCUMENT v2.4.1.9
Acquisitions (Narrative) (Details) (USD $)
3 Months Ended 0 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Jul. 16, 2014
Jul. 02, 2014
Jul. 15, 2014
Dec. 31, 2014
Business Acquisition [Line Items]            
Transaction costs $ 1,471,000us-gaap_BusinessCombinationAcquisitionRelatedCosts $ 0us-gaap_BusinessCombinationAcquisitionRelatedCosts        
Acquisitions and related expenses, net 126,578,000us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired 5,038,000us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired        
Sheridan Healthcare [Member]            
Business Acquisition [Line Items]            
Cash paid to acquire business     2,100,000,000us-gaap_PaymentsToAcquireBusinessesGross
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
     
Value of common stock issued for acquisition     272,000,000us-gaap_BusinessAcquisitionEquityInterestIssuedOrIssuableValueAssigned
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
     
Common Stock [Member]            
Business Acquisition [Line Items]            
Issuance of common stock (in shares)       9,775,000us-gaap_StockIssuedDuringPeriodSharesNewIssues
/ us-gaap_StatementClassOfStockAxis
= us-gaap_CommonStockMember
   
Common Stock [Member] | Sheridan Healthcare [Member]            
Business Acquisition [Line Items]            
Shares of common stock issued for acquisition     5,713,909us-gaap_BusinessAcquisitionEquityInterestsIssuedOrIssuableNumberOfSharesIssued
/ us-gaap_BusinessAcquisitionAxis
= amsg_SheridanHealthcareMember
/ us-gaap_StatementClassOfStockAxis
= us-gaap_CommonStockMember
     
Mandatory Convertible Preferred Stock [Member]            
Business Acquisition [Line Items]            
Issuance of common stock (in shares)       1,725,000us-gaap_StockIssuedDuringPeriodSharesNewIssues
/ us-gaap_StatementClassOfStockAxis
= us-gaap_ConvertiblePreferredStockMember
   
Senior Secured Credit Facility - Term Loan [Member]            
Business Acquisition [Line Items]            
Maximum borrowing capacity     870,000,000.0us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= amsg_SeniorSecuredCreditFacilityTermLoanMember
     
Revolving Credit Facility [Member]            
Business Acquisition [Line Items]            
Maximum borrowing capacity     300,000,000.0us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
  475,000,000.0us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
 
Senior Notes [Member] | 2022 Senior Unsecured Notes [Member]            
Business Acquisition [Line Items]            
Face amount     1,100,000,000.0us-gaap_DebtInstrumentFaceAmount
/ us-gaap_DebtInstrumentAxis
= amsg_TwoThousandTwentyTwoSeniorUnsecuredNotesMember
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
     
Interest rate     5.625%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= amsg_TwoThousandTwentyTwoSeniorUnsecuredNotesMember
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
     
Ambulatory Services [Member]            
Business Acquisition [Line Items]            
Acquisitions and related expenses, net 41,900,000us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
5,000,000us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
       
Ambulatory Services [Member] | Controlling Interest [Member]            
Business Acquisition [Line Items]            
Number of business acquisitions 1us-gaap_NumberOfBusinessesAcquired
/ amsg_AcquisitionInterestAxis
= amsg_ControllingInterestMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
1us-gaap_NumberOfBusinessesAcquired
/ amsg_AcquisitionInterestAxis
= amsg_ControllingInterestMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
       
Physician Services [Member] | Series of Individually Immaterial Business Acquisitions [Member]            
Business Acquisition [Line Items]            
Cash paid to acquire business 84,700,000us-gaap_PaymentsToAcquireBusinessesGross
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
         
Business Combination, Contingent Consideration, Liability 24,600,000us-gaap_BusinessCombinationContingentConsiderationLiability
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
        20,700,000us-gaap_BusinessCombinationContingentConsiderationLiability
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
Number of business acquisitions 3us-gaap_NumberOfBusinessesAcquired
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
         
Contingent consideration arrangements, low 21,000,000us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueLow
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
         
Contingent consideration arrangements, high $ 26,000,000us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember