|
GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)
|
12 Months Ended |
|
Dec. 31, 2014
|
| Goodwill And Intangible Assets Disclosure [Abstract] |
|
| Schedule of Changes in Carrying Amount of Goodwill |
The following tables show changes in the carrying amount of goodwill for the years-ended December 31, 2014 and December 31, 2013:
|
|
|
YEAR-ENDED |
|
|
YEAR-ENDED |
|
|
|
|
DECEMBER 31, |
|
|
DECEMBER 31, |
|
|
|
|
2014 |
|
|
2013 |
|
|
Balance at beginning of period |
|
$ |
745,036 |
|
|
$ |
706,495 |
|
|
Acquisitions (Note 2) |
|
|
177,726 |
|
|
|
49,286 |
|
|
Deconsolidations (Note 2) |
|
|
(22,018 |
) |
|
|
(7,351 |
) |
|
Sales |
|
|
(454 |
) |
|
|
(10,062 |
) |
|
Closure and other |
|
|
2,101 |
|
|
|
(515 |
) |
|
VIE related (Note 3) |
|
|
— |
|
|
|
4,104 |
|
|
Conversion of equity method investment to consolidated |
|
|
— |
|
|
|
3,079 |
|
|
Balance at end of period |
|
$ |
902,391 |
|
|
$ |
745,036 |
|
|
| Summary of Information Regarding Other Intangible Assets |
The following table provides information regarding our other intangible assets:
|
|
|
AS OF DECEMBER 31, |
|
|
|
|
2014 |
|
|
2013 |
|
|
Certificates of need |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
18,250 |
|
|
$ |
20,097 |
|
|
Accumulated amortization |
|
|
(9,237 |
) |
|
|
(8,073 |
) |
|
Net |
|
$ |
9,013 |
|
|
$ |
12,024 |
|
|
Management agreements |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
61,905 |
|
|
$ |
49,879 |
|
|
Accumulated amortization |
|
|
(19,231 |
) |
|
|
(15,334 |
) |
|
Net |
|
$ |
42,674 |
|
|
$ |
34,545 |
|
|
Licenses |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
15,338 |
|
|
$ |
7,429 |
|
|
Accumulated amortization |
|
|
(2,091 |
) |
|
|
(1,278 |
) |
|
Net |
|
$ |
13,247 |
|
|
$ |
6,151 |
|
|
Noncompete agreements |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
24,039 |
|
|
$ |
9,954 |
|
|
Accumulated amortization |
|
|
(4,711 |
) |
|
|
(1,030 |
) |
|
Net |
|
$ |
19,328 |
|
|
$ |
8,924 |
|
|
Total other intangible assets |
|
|
|
|
|
|
|
|
|
Gross carrying amount |
|
$ |
119,532 |
|
|
$ |
87,359 |
|
|
Accumulated amortization |
|
|
(35,270 |
) |
|
|
(25,715 |
) |
|
Net |
|
$ |
84,262 |
|
|
$ |
61,644 |
|
|
| Schedule of Amortization Expense for Other Intangible Assets |
Amortization expense for other intangible assets is as follows:
|
|
|
YEAR-ENDED |
|
|
YEAR-ENDED |
|
|
YEAR-ENDED |
|
|
|
|
DECEMBER 31, |
|
|
DECEMBER 31, |
|
|
DECEMBER 31, |
|
|
|
|
2014 |
|
|
2013 |
|
|
2012 |
|
|
Amortization expense |
|
$ |
10,114 |
|
|
$ |
6,651 |
|
|
$ |
4,815 |
|
|
| Schedule of Estimated Amortization Expense for Other Intangible Assets |
Total estimated amortization expense for our other intangible assets for the next five years is as follows:
|
|
|
ESTIMATED |
|
|
|
|
AMORTIZATION |
|
|
YEAR ENDING DECEMBER 31, |
|
EXPENSE |
|
|
2015 |
|
$ |
12,537 |
|
|
2016 |
|
|
12,113 |
|
|
2017 |
|
|
11,326 |
|
|
2018 |
|
|
11,207 |
|
|
2019 |
|
|
8,576 |
|
|