Revenue Recognition (Tables)

6 Months Ended

Jun. 30, 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 June 30,										Six Months Ended June 30,
	2016					2015					2016					2015
Medicare	$	61,775		14	%	$	45,967		14	%	$	120,549		14	%	$	87,296		14	%
Medicaid	30,698			7		19,298			6		61,523			7		37,878			6
Commercial and managed care	337,553			77		254,481			77		661,724			77		474,599			77
Self-pay	71,648			16		45,298			14		133,365			16		88,569			14
Net fee for service revenue	501,674			114		365,044			110		977,161			114		688,342			111
Contract and other revenue	38,411			9		31,698			10		74,076			9		62,687			10
Provision for uncollectibles	(101,333		)	(23	)	(65,783		)	(20	)	(194,941		)	(23	)	(133,535		)	(22	)
Net revenue for physician services	$	438,752		100	%	$	330,959		100	%	$	856,296		100	%	$	617,494		100	%