Acquisitions and Developments - 2016 Transactions (Details)
$ in Thousands |
12 Months Ended |
|
Dec. 31, 2016
USD ($)
Anesthesia_Practice
surgical_facility
Practice
urgent_care_facility
|
Dec. 31, 2015
Anesthesia_Practice
|
Dec. 31, 2015
surgical_facility
|
Dec. 31, 2015
USD ($)
|
Dec. 31, 2014
USD ($)
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| General and administrative expenses |
$ 60,246
|
|
|
$ 55,992
|
$ 31,452
|
| Idaho Falls, Idaho, Surgical Hospital |
|
|
|
|
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| Amount of additional interest purchased, percentage |
7.04%
|
|
|
|
|
| Amount of additional interest purchased, value |
$ 20,300
|
|
|
|
|
| Surgical Facility Acquisitions |
|
|
|
|
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| Number of businesses acquired in new market | surgical_facility |
2
|
|
2
|
|
|
| Number of businesses acquired in existing market |
1
|
4
|
3
|
|
|
| Aggregate purchase price |
$ 36,500
|
|
|
84,200
|
|
| Anesthesia Practice |
|
|
|
|
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| Number of businesses acquired in new market | Anesthesia_Practice |
2
|
|
|
|
|
| Number of businesses acquired in existing market | Anesthesia_Practice |
1
|
|
|
|
|
| Urgent Care Facility |
|
|
|
|
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| Number of businesses acquired in existing market | urgent_care_facility |
1
|
|
|
|
|
| Physician Practice |
|
|
|
|
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| Number of businesses acquired in existing market | Practice |
9
|
|
|
|
|
| Aggregate purchase price |
|
|
|
|
$ 1,600
|
| Integrated Physician Practice |
|
|
|
|
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| Number of businesses acquired in existing market | Practice |
2
|
|
|
|
|
| Ancillary Services Acquisition |
|
|
|
|
|
| Business Acquisition [Line Items] |
|
|
|
|
|
| Aggregate purchase price |
$ 114,700
|
|
|
$ 40,400
|
|
| Fair value of contingent consideration liability |
16,600
|
|
|
|
|
| General and administrative expenses |
$ 5,100
|
|
|
|
|