v2.4.0.8
Amortizable Intangible Assets (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2013
Dec. 31, 2012
Finite-Lived Intangible Assets [Line Items]    
Customer relationships $ 1,503,426 $ 1,486,160
Trade names 170,994 170,494
Provider network and practice management tools 184,558 184,264
Noncompetition and other agreements 495,475 460,011
Lease agreements 8,889 9,574
Deferred debt financing costs 121,872 121,176
Indefinite-lived assets 22,932 762
Intangible Assets, Gross (Excluding Goodwill), Total 2,508,146 2,432,441
Less accumulated amortization (483,773) (304,323)
Total intangible assets $ 2,024,373 $ 2,128,118