|
Intangibles (Tables)
|
12 Months Ended |
|
Dec. 31, 2014
|
| Intangible Assets Gross Excluding Goodwill [Abstract] |
|
| Amortizable intangible assets |
Intangible assets were comprised of the following:
|
|
|
December 31, |
|
|
|
|
2014 |
|
|
2013 |
|
|
Customer relationships |
|
$ |
1,575,865 |
|
|
$ |
1,503,426 |
|
|
Trade names |
|
|
171,168 |
|
|
|
170,994 |
|
|
Provider network and practice management tools |
|
|
183,688 |
|
|
|
184,558 |
|
|
Noncompetition and other agreements |
|
|
506,867 |
|
|
|
495,475 |
|
|
Lease agreements |
|
|
7,982 |
|
|
|
8,889 |
|
|
Deferred debt financing costs |
|
|
101,001 |
|
|
|
121,872 |
|
|
Indefinite-lived assets |
|
|
24,818 |
|
|
|
22,932 |
|
|
|
|
|
2,571,389 |
|
|
|
2,508,146 |
|
|
Less accumulated amortization |
|
|
(621,891 |
) |
|
|
(483,773 |
) |
|
Total intangible assets |
|
$ |
1,949,498 |
|
|
$ |
2,024,373 |
|
|
| Amortizable Intangible Liabilities |
Amortizable intangible liabilities were comprised of the following:
|
|
|
December 31, |
|
|
|
|
2014 |
|
|
2013 |
|
|
Alliance and product supply agreement commitment
(See Note 18) |
|
$ |
68,200 |
|
|
$ |
68,200 |
|
|
Less accumulated amortization |
|
|
(64,203 |
) |
|
|
(58,873 |
) |
|
Net Alliance and product supply agreement |
|
|
3,997 |
|
|
|
9,327 |
|
|
Lease agreements (net of accumulated amortization of $4,785
and $2,628) |
|
|
10,407 |
|
|
|
12,563 |
|
|
|
|
$ |
14,404 |
|
|
$ |
21,890 |
|
|
| Scheduled Amortization Charges from Intangible Assets and Liabilities |
Scheduled amortization charges from amortizable intangible assets and liabilities as of December 31, 2014 were as follows:
|
|
|
Customer
relationships |
|
|
Trade
names |
|
|
Provider
network and
practice
management
tools |
|
|
Noncompetition
and other
agreements |
|
|
Lease
agreements, net |
|
|
Deferred
debt
financing
costs |
|
|
Alliance and
product
supply
agreement
liability |
|
|
2015 |
|
|
82,619 |
|
|
|
16,429 |
|
|
|
26,229 |
|
|
|
40,482 |
|
|
|
(2,107 |
) |
|
|
13,279 |
|
|
|
(3,997 |
) |
|
2016 |
|
|
82,704 |
|
|
|
16,429 |
|
|
|
26,179 |
|
|
|
30,172 |
|
|
|
(1,506 |
) |
|
|
13,129 |
|
|
|
— |
|
|
2017 |
|
|
82,686 |
|
|
|
16,418 |
|
|
|
26,243 |
|
|
|
28,563 |
|
|
|
(1,185 |
) |
|
|
12,976 |
|
|
|
— |
|
|
2018 |
|
|
82,640 |
|
|
|
16,364 |
|
|
|
26,266 |
|
|
|
18,429 |
|
|
|
(849 |
) |
|
|
12,683 |
|
|
|
— |
|
|
2019 |
|
|
82,407 |
|
|
|
16,364 |
|
|
|
22,542 |
|
|
|
13,984 |
|
|
|
(789 |
) |
|
|
10,636 |
|
|
|
— |
|
|
Thereafter |
|
|
991,862 |
|
|
|
53,961 |
|
|
|
526 |
|
|
|
39,242 |
|
|
|
(3,971 |
) |
|
|
22,237 |
|
|
|
— |
|
|