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Goodwill And Intangible Assets (Summary Of Intangible Assets) (Details) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2015
Dec. 31, 2014
Indefinite-lived Intangible Assets [Line Items]    
Non-amortizable intangible assets $ 237,995us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill $ 237,995us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 1,134,020us-gaap_FiniteLivedIntangibleAssetsGross 1,085,129us-gaap_FiniteLivedIntangibleAssetsGross
Accumulated Amortization (65,748)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization (49,245)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
Net 1,068,272us-gaap_FiniteLivedIntangibleAssetsNet 1,035,884us-gaap_FiniteLivedIntangibleAssetsNet
Total intangible assets, gross carrying amount 1,372,015us-gaap_IntangibleAssetsGrossExcludingGoodwill 1,323,124us-gaap_IntangibleAssetsGrossExcludingGoodwill
Accumulated Amortization (65,748)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization (49,245)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
Total intangible assets, net 1,306,267us-gaap_IntangibleAssetsNetExcludingGoodwill 1,273,879us-gaap_IntangibleAssetsNetExcludingGoodwill
Customer relationships with hospitals [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 1,015,763us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
971,645us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Accumulated Amortization (34,545)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
(22,145)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Net 981,218us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
949,500us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Accumulated Amortization (34,545)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
(22,145)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_CustomerRelationshipsMember
Deferred financing cost [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 59,660us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
59,574us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Accumulated Amortization (7,225)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
(5,151)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Net 52,435us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
54,423us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Accumulated Amortization (7,225)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
(5,151)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_DeferredFinancingCostMember
Capitalized software [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 54,529us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
50,387us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Accumulated Amortization (21,136)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
(19,197)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Net 33,393us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
31,190us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Accumulated Amortization (21,136)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
(19,197)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CapitalizedSoftwareMember
Agreements, contracts, and other intangible assets    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 4,068us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
3,523us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Accumulated Amortization (2,842)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
(2,752)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Net 1,226us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
771us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Accumulated Amortization (2,842)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
(2,752)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_CustomerAndNonCompeteAgreementsMember
Trade name [Member]    
Indefinite-lived Intangible Assets [Line Items]    
Non-amortizable intangible assets 228,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_TradeNamesMember
228,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_TradeNamesMember
Restrictive covenant arrangements [Member]    
Indefinite-lived Intangible Assets [Line Items]    
Non-amortizable intangible assets $ 9,995us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_RestrictiveCovenantArrangementsMember
$ 9,995us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= amsg_RestrictiveCovenantArrangementsMember