Goodwill and Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]  
Summary of activity related to goodwill
A summary of activity related to goodwill for the year ended December 31, 2016 follows (in thousands):
Balance at December 31, 2014
 
$
1,298,753

Acquisitions
 
113,812

Divestitures
 
(8,399
)
Purchase price adjustments
 
3,761

Balance at December 31, 2015
 
$
1,407,927

Acquisitions
 
147,895

Divestitures
 
(552
)
Purchase price adjustments
 
(66
)
Balance at December 31, 2016
 
$
1,555,204
Summary of activity related to intangible assets
A summary of the activity related to intangible assets as of December 31, 2016 follows (in thousands):
 
 
Physician Income Guarantees
 
Management Rights
 
Non-Compete Agreements
 
Certificates of Need
 
Customer Relationships
 
Other
 
Total Intangible Assets
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Balance at December 31, 2014
 
$
973

 
$
24,757

 
$
16,590

 
$
3,711

 
$
6,274

 
$
2,583

 
$
54,888

Additions
 
1,052

 
—

 
7,532

 
—

 
—

 
—

 
8,584

Recruitment expense
 
(813
)
 
—

 
—

 
—

 
—

 
—

 
(813
)
Amortization
 
—

 
(1,731
)
 
(5,551
)
 
—

 
(1,338
)
 
(471
)
 
(9,091
)
Balance at December 31, 2015
 
$
1,212

 
$
23,026

 
$
18,571

 
$
3,711

 
$
4,936

 
$
2,112

 
$
53,568

Additions
 
210

 
—

 
4,025

 
69

 
—

 
450

 
4,754

Disposals
 
—

 
—

 
—

 
—

 
(22
)
 
(113
)
 
(135
)
Recruitment expense
 
(609
)
 
—

 
—

 
—

 
—

 
—

 
(609
)
Amortization
 
—

 
(1,736
)
 
(6,139
)
 
—

 
(1,210
)
 
(470
)
 
(9,555
)
Balance at December 31, 2016
 
$
813

 
$
21,290

 
$
16,457

 
$
3,780

 
$
3,704

 
$
1,979

 
$
48,023
Summary of scheduled amortization
A summary of the scheduled amortization related to the Company's finite-lived intangible assets as of December 31, 2016 follows (in thousands):
    
 
 
Amortization of Finite-Lived Intangible Assets
 
 
 
2016
 
$
9,042

2017
 
6,923

2018
 
6,393

2019
 
4,023

2020
 
2,960

Thereafter
 
14,660

Total
 
$
44,001