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Schedule of Balances Related to Property and Equipment (Details) (USD $)
Dec. 31, 2014
Dec. 31, 2013
Property Plant And Equipment [Abstract]    
Land $ 3,200,000us-gaap_Land $ 3,200,000us-gaap_Land
Building and leasehold improvements 25,300,000amed_BuildingAndLeaseholdImprovements 25,900,000amed_BuildingAndLeaseholdImprovements
Equipment and furniture 97,200,000amed_EquipmentAndFurniture 106,600,000amed_EquipmentAndFurniture
Computer software 158,200,000us-gaap_CapitalizedComputerSoftwareGross 153,300,000us-gaap_CapitalizedComputerSoftwareGross
Property and Equipment, Gross 283,900,000us-gaap_PropertyPlantAndEquipmentGross 289,000,000us-gaap_PropertyPlantAndEquipmentGross
Less accumulated depreciation (146,438,000)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment (129,891,000)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
Property and equipment, net $ 137,455,000us-gaap_PropertyPlantAndEquipmentNet $ 159,025,000us-gaap_PropertyPlantAndEquipmentNet