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Investments in Unconsolidated Affiliates (Details) (USD $)
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Dec. 31, 2014
Schedule of Equity Method Investments [Line Items]      
Investments in unconsolidated affiliates $ 79,311,000us-gaap_EquityMethodInvestments   $ 75,475,000us-gaap_EquityMethodInvestments
Equity in earnings of unconsolidated affiliates 2,651,000us-gaap_IncomeLossFromEquityMethodInvestments 764,000us-gaap_IncomeLossFromEquityMethodInvestments  
Gain (loss) on deconsolidation (223,000)us-gaap_DeconsolidationGainOrLossAmount 2,045,000us-gaap_DeconsolidationGainOrLossAmount  
Goodwill, Written off Related to Sale of Business Unit 1,069,000us-gaap_GoodwillWrittenOffRelatedToSaleOfBusinessUnit    
Joint Venture [Member]      
Schedule of Equity Method Investments [Line Items]      
Investments in unconsolidated affiliates 79,300,000us-gaap_EquityMethodInvestments
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
  75,500,000us-gaap_EquityMethodInvestments
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
Ambulatory Services [Member] | Joint Venture [Member]      
Schedule of Equity Method Investments [Line Items]      
Investments in unconsolidated affiliates 1,300,000us-gaap_EquityMethodInvestments
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
1,200,000us-gaap_EquityMethodInvestments
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
 
Proceeds from divestiture of interest in consolidated subsidiaries   $ 600,000us-gaap_ProceedsFromDivestitureOfInterestInConsolidatedSubsidiaries
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
 
Ambulatory Services [Member] | Controlling Interest [Member] | Joint Venture [Member]      
Schedule of Equity Method Investments [Line Items]      
Number consolidated centers contributed to joint venture 1amsg_NumberOfConsolidatedCentersContributedToJointVenture
/ amsg_AcquisitionInterestAxis
= amsg_ControllingInterestMember
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
1amsg_NumberOfConsolidatedCentersContributedToJointVenture
/ amsg_AcquisitionInterestAxis
= amsg_ControllingInterestMember
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
 
Ambulatory Services [Member] | Noncontrolling Interest In Centers [Member] | Joint Venture [Member]      
Schedule of Equity Method Investments [Line Items]      
Number of joint venture entities acquired 1amsg_NumberOfJointVentureEntitiesAcquired
/ amsg_AcquisitionInterestAxis
= amsg_NoncontrollingInterestInCentersMember
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember
1amsg_NumberOfJointVentureEntitiesAcquired
/ amsg_AcquisitionInterestAxis
= amsg_NoncontrollingInterestInCentersMember
/ us-gaap_BusinessAcquisitionAxis
= amsg_JointVentureMember
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_AmbulatoryServicesMember