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Basis of Presentation (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
USD ($)
center
Jun. 30, 2015
USD ($)
Jun. 30, 2016
USD ($)
center
Jun. 30, 2015
USD ($)
Dec. 31, 2015
USD ($)
Variable Interest Entity [Line Items]          
Number of ownership interests of less than 51% | center 24   24    
Investments in unconsolidated affiliates $ 179,056   $ 179,056   $ 169,170
Income (Loss) from Equity Method Investments 7,351 $ 3,989 13,930 $ 6,640  
Net revenue 758,499 641,950 1,483,177 1,212,395  
Prepaid and other current assets 74,565   74,565   75,771
Restricted Cash and Marketable Securities          
Restricted cash and marketable securities, total 29,900   29,900   27,400
Restricted cash and investments, noncurrent 17,100   17,100   13,900
Restricted marketable securities 500   500   2,700
Variable Interest Entity, Primary Beneficiary, Aggregated Disclosure [Member]          
Variable Interest Entity [Line Items]          
Assets of VIEs 780,500   780,500   740,100
Liabilities of VIEs 297,700   297,700   299,000
Restricted use assets of VIEs 178,600   178,600   176,800
Debt of VIEs guaranteed by AmSurg 18,200   18,200   21,700
Variable Interest Entity, Not Primary Beneficiary, Aggregated Disclosure [Member]          
Variable Interest Entity [Line Items]          
Net revenue 5,300 3,800 11,600 7,200  
Prepaid and other current assets $ 9,200   $ 9,200   $ 6,000
Consolidated [Member]          
Variable Interest Entity [Line Items]          
Number of ownership interests of less than 51% | center 2   2    
Ambulatory Services [Member]          
Variable Interest Entity [Line Items]          
Net revenue $ 319,747 $ 310,991 $ 626,881 $ 594,901  
Maximum [Member] | Variable Interest Entity, Not Primary Beneficiary, Aggregated Disclosure [Member]          
Variable Interest Entity [Line Items]          
Percent of voting rights in unconsolidated affiliates     50.00%