Accrued Professional Liabilities - Rollforward of Reserves (Details) $ in Thousands	3 Months Ended
Mar. 31, 2016 USD ($)
Self Insurance Reserve [Roll Forward]
Balance at December 31, 2015	$ 66,914
Provision related to current period reserves	4,274
Payments for prior period reserves	(4,128)
Other, net including post acquisition adjustments	(3,515)
Balance at March 31, 2016	$ 63,545

Carrying amount (including both current and noncurrent portions) of accrued known and estimated losses incurred as of the balance sheet date for which no insurance coverage exists, and for which a claim has been made or is probable of being asserted, typically arising from workmen's compensation-type of incidents and personal injury to nonemployees from accidents on the entity's property.

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.24)
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Name:	us-gaap_SelfInsuranceReserve
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant