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Basis of Presentation (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
USD ($)
center
Sep. 30, 2015
USD ($)
Sep. 30, 2016
USD ($)
center
Sep. 30, 2015
USD ($)
Dec. 31, 2015
USD ($)
Variable Interest Entity [Line Items]          
Number of ownership interests of less than 51% | center 24   24    
Investments in unconsolidated affiliates $ 111,006   $ 111,006   $ 169,170
Income (Loss) from Equity Method Investments 4,445 $ 4,935 18,375 $ 11,575  
Net revenue 822,216 650,227 2,305,393 1,862,622  
Prepaid and other current assets 64,454   64,454   75,771
Restricted Cash and Marketable Securities          
Restricted cash and marketable securities, total 30,300   30,300   27,400
Restricted cash and investments, noncurrent 17,500   17,500   13,900
Restricted marketable securities 200   200   2,700
Variable Interest Entity, Primary Beneficiary, Aggregated Disclosure [Member]          
Variable Interest Entity [Line Items]          
Assets of VIEs 937,500   937,500   740,100
Liabilities of VIEs 327,900   327,900   299,000
Restricted use assets of VIEs 216,800   216,800   176,800
Debt of VIEs guaranteed by AmSurg 18,700   18,700   21,700
Variable Interest Entity, Not Primary Beneficiary, Aggregated Disclosure [Member]          
Variable Interest Entity [Line Items]          
Net revenue 900 4,100 12,600 11,200  
Prepaid and other current assets $ 6,000   $ 6,000   $ 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 $ 314,609 $ 308,983 $ 941,490 $ 903,884  
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%