Consolidated Statements Of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2015	Jun. 30, 2014
Cash flows from operating activities:
Net earnings	$ 159,502	$ 128,286
Adjustments to reconcile net earnings to net cash flows provided by operating activities:
Depreciation and amortization	46,430	16,695
Amortization of deferred loan costs	4,155	996
Provision for uncollectibles	144,514	10,736
Net loss on sale of long-lived assets	0	611
Loss (gain) on deconsolidation	3,258	(3,411)
Share-based compensation	7,592	4,964
Excess tax benefit from share-based compensation	(3,533)	(2,090)
Deferred income taxes	2,699	17,872
Equity in earnings of unconsolidated affiliates	(6,640)	(1,303)
Net change in fair value of contingent consideration	6,410	0
Increases (decreases) in cash and cash equivalents, net of acquisitions and dispositions:
Accounts receivable	(157,056)	(16,715)
Supplies inventory	(110)	(7)
Prepaid and other current assets	30,327	(2,310)
Accounts payable	(696)	(2,397)
Accrued expenses and other liabilities	12,648	769
Other, net	1,895	885
Net cash flows provided by operating activities	251,395	153,581
Cash flows from investing activities:
Acquisitions and related expenses	(196,032)	(24,437)
Acquisition of property and equipment	(32,665)	(16,075)
Proceeds from sale of interests in surgery centers	0	2,092
Purchases of marketable securities	(1,245)	0
Maturities of marketable securities	2,988	0
Other	(1,987)	(1,381)
Net cash flows used in investing activities	(228,941)	(39,801)
Cash flows from financing activities:
Proceeds from long-term borrowings	7,795	74,246
Repayment on long-term borrowings	(10,288)	(102,326)
Distributions to noncontrolling interests	(101,033)	(92,010)
Cash dividends for preferred shares	(4,528)	0
Proceeds from issuance of common stock upon exercise of stock options	2,080	1,646
Repurchase of common stock	(3,684)	(2,857)
Excess tax benefit from share-based compensation	3,533	2,090
Other	1,881	(498)
Net cash flows used in financing activities	(104,244)	(119,709)
Net decrease in cash and cash equivalents	(81,790)	(5,929)
Cash and cash equivalents, beginning of period	208,079	50,840
Cash and cash equivalents, end of period	126,289	44,911
Supplemental cash flow information:
Interest payments	56,252	9,710
Income tax paid, net of refunds	$ 7,772	$ 4,703