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Revenue Recognition (Tables)
 9 Months Ended
Sep. 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 September 30,
 
Nine Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Medicare
$
72,425

 
14
 %
 
$
46,171

 
14
 %
 
$
192,974

 
14
 %
 
$
133,467

 
14
 %
Medicaid
35,735

 
7

 
20,818

 
6

 
97,258

 
7

 
58,696

 
6

Commercial and managed care
403,859

 
80

 
256,593

 
75

 
1,065,583

 
78

 
731,192

 
76

Self-pay
107,721

 
21

 
47,093

 
14

 
241,086

 
18

 
135,662

 
14

Net fee for service revenue
619,740

 
122

 
370,675

 
109

 
1,596,901

 
117

 
1,059,017

 
110

Contract and other revenue
34,473

 
7

 
33,061

 
9

 
108,549

 
8

 
95,748

 
10

Provision for uncollectibles
(146,606
)
 
(29
)
 
(62,492
)
 
(18
)
 
(341,547
)
 
(25
)
 
(196,027
)
 
(20
)
Net revenue for physician services
$
507,607

 
100
 %
 
$
341,244

 
100
 %
 
$
1,363,903

 
100
 %
 
$
958,738

 
100
 %