Basis of Presentation and Significant Accounting Policies (Tables)
3 Months Ended
Mar. 31, 2015
Accounting Policies [Abstract]  
Schedule of changes in carrying amount of goodwill
The changes in the carrying amount of goodwill for the three months ended March 31, 2015 are as follows (in thousands):
Goodwill - beginning balance at January 1, 2015
$
408,988

Goodwill acquired during 2015
21,088

Adjustment for prior year transactions
(283
)
Goodwill - ending balance at March 31, 2015
$
429,793

Schedule of total accrued medical malpractice reserves and related insurance receivables
Total accrued medical malpractice reserves and related insurance receivables were as follows (in thousands):
 
March 31, 2015
 
December 31, 2014
 
Assets
 
Liabilities
 
Assets
 
Liabilities
 
Insurance
Receivable
 
Claims
Reserve
 
IBNR
Reserve
 
Total
Liabilities
 
Insurance
Receivable
 
Claims
Reserve
 
IBNR
Reserve
 
Total
Liabilities
Current Portion
$
13,038

 
$
13,038

 
$
580

 
$
13,618

 
$
12,564

 
$
12,564

 
$
515

 
$
13,079

Long-term Portion
22,409

 
22,409

 
26,250

 
48,659

 
21,574

 
21,574

 
25,665

 
47,239

Total
$
35,447

 
$
35,447

 
$
26,830

 
$
62,277

 
$
34,138

 
$
34,138

 
$
26,180

 
$
60,318