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Income Taxes (Deferred Assets and Liabilities) (Details) - USD ($)
$ in Thousands
Dec. 31, 2015
Dec. 31, 2014
Deferred tax assets:    
Allowance for uncollectible accounts $ 3,276 $ 1,096
Accrued assets and other 36,600 27,537
Share-based compensation 10,710 7,719
Interest on unrecognized tax benefits 113 245
Accrued liabilities and other 4,080 3,931
Medical malpractice 19,035 16,240
Operating and capital loss carryforwards 29,718 22,709
Valuation allowances (21,814) (17,457)
Total deferred tax assets 81,718 62,020
Deferred tax liabilities:    
Prepaid expenses 1,789 2,435
Property and equipment, principally due to differences in depreciation 16,787 15,235
Goodwill, intangible assets and other, principally due to differences in amortization 762,640 655,358
Total deferred tax liabilities 781,216 673,028
Net deferred tax liabilities $ 699,498 $ 611,008