v2.4.0.8
Acquisition Acquisition (Details)
In Thousands, unless otherwise specified
1 Months Ended
Sep. 30, 2014
USD ($)
Dec. 31, 2013
USD ($)
Jan. 31, 2014
U.S. Medical Management [Member]
USD ($)
Jul. 31, 2014
Community Health Solutions [Member]
USD ($)
Jul. 31, 2014
Ribera Salud [Member]
USD ($)
Sep. 30, 2014
Ribera Salud [Member]
USD ($)
Sep. 30, 2014
Ribera Salud [Member]
EUR (€)
Business Acquisition [Line Items]              
Percentage of acquisition     68.00%        
Business Combination, Consideration Transferred     $ 213,664 $ 133,791      
Common stock issued for acquisition     132,686 58,135      
Payments to Acquire Businesses, Gross     80,978 14,061      
Business Combination, Total Fair Value     352,348        
Redeemable Noncontrolling Interest, Equity, Fair Value     138,684        
Goodwill 753,060 348,432 283,081 121,691      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles     78,390 12,100      
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductiblePercent     45.00% 100.00%      
Percent of future consideration issuable in shares     50.00%        
Business Combination, Consideration Transferred, Liabilities Incurred       41,929      
Business Combination, Contingent Consideration, Liability       19,666      
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High       28,200      
Payments to Acquire Interest in Joint Venture         16,984    
Equity Method Investment, Ownership Percentage         50.00%    
Letters of Credit Outstanding, Amount           $ 60,889 € 48,000