Goodwill And Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2015

Goodwill and Intangible Assets Disclosure [Abstract]

Changes In Carrying Amount Of Goodwill

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

Balance at December 31, 2014	$	3,381,149
Goodwill acquired, including post acquisition adjustments	246,787
Goodwill disposed, including impact of deconsolidation transactions	(38,619		)
Balance at September 30, 2015	$	3,589,317

Schedule of Finite-Lived Intangible Assets

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

	September 30, 2015							December 31, 2014
	Gross							Gross
	Carrying		Accumulated					Carrying		Accumulated
	Amount		Amortization			Net		Amount		Amortization			Net
Amortizable intangible assets:
Customer relationships with hospitals	$	1,013,156	$	(59,622	)	$	953,534	$	971,645	$	(22,145	)	$	949,500
Deferred financing cost	59,859		(11,382		)	48,477		59,574		(5,151		)	54,423
Capitalized software	66,938		(25,920		)	41,018		50,387		(19,197		)	31,190
Agreements, contracts and other	4,618		(3,075		)	1,543		3,523		(2,752		)	771
Total amortizable intangible assets	1,144,571		(99,999		)	1,044,572		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	$	1,382,566	$	(99,999	)	$	1,282,567	$	1,323,124	$	(49,245	)	$	1,273,879