Goodwill And Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2015

Goodwill and Intangible Assets Disclosure [Abstract]

Changes In Carrying Amount Of Goodwill

The changes in the carrying amount of goodwill for the six months ended June 30, 2015 are as follows (in thousands):

Balance at December 31, 2014	$	3,381,149
Goodwill acquired, including post acquisition adjustments	208,196
Goodwill disposed, including impact of deconsolidation transactions	(3,324		)
Balance at June 30, 2015	$	3,586,021

Schedule of Finite-Lived Intangible Assets

Intangible assets at June 30, 2015 and December 31, 2014 consisted of the following (in thousands):

	June 30, 2015							December 31, 2014
	Gross							Gross
	Carrying		Accumulated					Carrying		Accumulated
	Amount		Amortization			Net		Amount		Amortization			Net
Amortizable intangible assets:
Customer relationships with hospitals	$	1,001,463	$	(46,996	)	$	954,467	$	971,645	$	(22,145	)	$	949,500
Deferred financing cost	59,858		(9,299		)	50,559		59,574		(5,151		)	54,423
Capitalized software	61,765		(23,676		)	38,089		50,387		(19,197		)	31,190
Agreements, contracts and other	4,218		(2,951		)	1,267		3,523		(2,752		)	771
Total amortizable intangible assets	1,127,304		(82,922		)	1,044,382		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	$	1,365,299	$	(82,922	)	$	1,282,377	$	1,323,124	$	(49,245	)	$	1,273,879