XML 95 R81.htm IDEA: XBRL DOCUMENT v3.3.1.900
Other Liabilities (Detail) - USD ($)
$ in Thousands
Dec. 31, 2015
Dec. 31, 2014
Other Liabilities Disclosure [Abstract]    
Payor refunds and retractions $ 153,104 $ 125,435
Contingent earn-out consideration 29,050 15,614
Insurance and self-insurance accruals 80,355 92,928
Accrued interest 81,585 87,224
Other medical payables 53,687 39,867
Accrued non-income tax liabilities 29,291 25,909
Other 255,051 123,246
Other liabilities $ 682,123 $ 510,223