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Acquisitions (Narrative) (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Jul. 16, 2014
USD ($)
shares
Jul. 02, 2014
shares
Sep. 30, 2015
USD ($)
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
physician_practice
center
Sep. 30, 2014
USD ($)
center
Dec. 31, 2014
USD ($)
Jul. 15, 2014
USD ($)
Business Acquisition [Line Items]                
Transaction costs     $ 2,107 $ 25,102 $ 5,560 $ 28,681    
Acquisitions and related expenses, net         233,490 2,138,648    
Net change in fair value of contingent consideration     1,928 $ 0 8,338 0    
Sheridan Healthcare [Member]                
Business Acquisition [Line Items]                
Cash paid to acquire business $ 2,100,000              
Value of common stock issued for acquisition $ 272,000              
Post acquisition adjustment to goodwill         8,700      
Common Stock [Member]                
Business Acquisition [Line Items]                
Issuance of stock (in shares) | shares   9,775,000            
Common Stock [Member] | Sheridan Healthcare [Member]                
Business Acquisition [Line Items]                
Shares of common stock issued for acquisition | shares 5,713,909              
Mandatory Convertible Preferred Stock [Member]                
Business Acquisition [Line Items]                
Issuance of stock (in shares) | shares   1,725,000            
Senior Secured Credit Facility - Term Loan [Member]                
Business Acquisition [Line Items]                
Maximum borrowing capacity $ 870,000              
Revolving Credit Facility [Member]                
Business Acquisition [Line Items]                
Maximum borrowing capacity 300,000             $ 475,000
Senior Notes [Member] | 2022 Senior Unsecured Notes [Member]                
Business Acquisition [Line Items]                
Face amount $ 1,100,000              
Interest rate 5.625%              
Ambulatory Services [Member]                
Business Acquisition [Line Items]                
Acquisitions and related expenses, net         $ 112,900 $ 24,400    
Ambulatory Services [Member] | Controlling Interest [Member]                
Business Acquisition [Line Items]                
Number of business acquisitions | center         5 4    
Sheridan Healthcare [Member] | Controlling Interest [Member]                
Business Acquisition [Line Items]                
Number of business acquisitions | center           2    
Physician Services [Member]                
Business Acquisition [Line Items]                
Net change in fair value of contingent consideration     1,928   $ 8,338      
Physician Services [Member] | Series of Individually Immaterial Business Acquisitions [Member]                
Business Acquisition [Line Items]                
Cash paid to acquire business     120,600          
Business Combination, Contingent Consideration, Liability     33,700   $ 33,700   $ 20,700  
Number of business acquisitions | physician_practice         6      
Contingent consideration arrangements, low     32,000   $ 32,000      
Contingent consideration arrangements, high     $ 35,000   $ 35,000