Revenue Recognition (Tables)

3 Months Ended

Mar. 31, 2016

Revenue Recognition [Abstract]

Schedule of Revenue and Fees by Segment and Major Payors

Net revenue for the physician services segment consists of the following major payors (dollars in thousands):

	Three Months Ended March 31,
	2016					2015
Medicare	$	58,774		14	%	$	41,329		14	%
Medicaid	30,825			7		18,580			6
Commercial and managed care	324,171			78		220,118			77
Self-pay	61,717			15		43,271			15
Net fee for service revenue	475,487			114		323,298			113
Contract and other revenue	35,665			9		30,989			11
Provision for uncollectibles	(93,608		)	(22	)	(67,752		)	(24	)
Net revenue for physician services	$	417,544		100	%	$	286,535		100	%