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Discontinued Operations (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended 9 Months Ended
Feb. 02, 2015
Sep. 30, 2015
Jun. 30, 2015
Sep. 30, 2014
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Dec. 31, 2014
Dec. 31, 2013
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                      
Proceeds from Divestiture of Businesses $ 123,000                    
Gain (Loss) on Disposition of Business   $ 0   $ 0       $ 25,703 $ 0    
Discontinued Operation, Tax Effect of Gain (Loss) from Disposal of Discontinued Operation               14,400      
Receivable in escrow   6,000           6,000      
Disposal Group, Including Discontinued Operation, Cash and Cash Equivalents                   $ (2,854)  
Cash   28,916           28,916   28,860  
Cash and cash equivalents   28,916   29,881       28,916 29,881 31,714 [1] $ 37,350
Disposal Group, Including Discontinued Operation, Accounts, Notes and Loans Receivable, Net                   (21,615)  
Accounts receivable, net   358,649           358,649   277,146  
Disposal Group, Including Discontinued Operation, Prepaid and Other Assets                   (1,205)  
Prepaid expenses and income taxes   6,526           6,526   13,308  
Disposal Group, Including Discontinued Operation, Deferred Tax Asset, Current                   (3,321)  
Deferred income tax assets   15,298           15,298   15,746  
Workers' compensation receivable   13,737           13,737   13,370  
Disposal Group, Including Discontinued Operations, Workers' Compensation and Medical Malpractice Receivable, Current                   (5,358)  
Other current assets   8,978           8,978   2,310 [2]  
Disposal Group, Including Discontinued Operation, Other Assets, Current                   0  
Disposal Group, Including Discontinued Operation, Assets, Current   0           0   34,353  
Assets, Current   432,104           432,104   385,093  
Disposal Group, Including Discontinued Operation, Property, Plant and Equipment                   (2,508)  
Property and equipment, net   51,767           51,767   44,311  
Goodwill   875,714           875,714   512,060  
Identifiable intangible assets, net   429,621           429,621   250,609  
Disposal Group, Including Discontinued Operation, Intangible Assets                   (11,960)  
Disposal Group, Including Discontinued Operation, Goodwill                   (58,637)  
Disposal Group, Including Discontinued Operation, Other Assets, Noncurrent                   (568)  
Other non-current assets   7,594           7,594   5,160 [2]  
Disposal Group, Including Discontinued Operation, Other Assets   0           0   73,673  
Disposal Group, Including Discontinued Operation, Assets                   0  
Assets   1,796,800           1,796,800   1,270,906  
Current portion of long-term debt, net   0           0   17,439 [2]  
Disposal Group, Including Discontinued Operation, Accounts Payable                   (951)  
Accounts payable   6,686           6,686   7,925  
Disposal Group, Including Discontinued Operation, Accrued Liabilities                   (4,626)  
Accrued payroll and contract professional pay   113,219           113,219   82,563  
Disposal Group Workers' Compensation and Medical Malpractice Liability, Current                   (13,571)  
Workers’ compensation loss reserves   15,603           15,603   15,564  
Income taxes payable   7,423           7,423   340  
Disposal Group, Including Discontinued Operation, Other Liabilities, Current                   (1,047)  
Other current liabilities   39,218           39,218   20,729  
Disposal Group, Including Discontinued Operation, Liabilities, Current   0           0   20,195  
Liabilities, Current   182,149           182,149   164,755  
Long-term debt, net   784,797           784,797   394,418 [2]  
Disposal Group, Including Discontinued Operation, Deferred Tax Liabilities, Noncurrent                   (4,088)  
Deferred income tax liabilities   66,142           66,142   63,821  
Disposal Group, Including Discontinued Operation, Other Liabilities, Noncurrent                   (1,479)  
Other long-term liabilities   5,124           5,124   7,937  
Disposal Group, Including Discontinued Operation, Liabilities, Noncurrent   0           0   5,567  
Disposal Group, Including Discontinued Operation, Liabilities                   0  
Liabilities   1,038,212           1,038,212   636,498  
Cash Provided by (Used in) Operating Activities, Discontinued Operations           $ (1,778) $ 1,332        
Cash received from sale of discontinued operations, net               115,440 0    
Other Cash Provided by (Used in) Investing Activities, Discontinued Operations           14 233        
Cash Provided by (Used in) Investing Activities, Discontinued Operations           115,426 (233)        
Disposal Group, Including Discontinued Operation, Revenue     $ 0   $ 35,381 12,068 101,998        
Disposal Group Including Discontinued Operations Cost of Services     0   24,594 8,653 71,015        
Disposal Group, Including Discontinued Operation, Gross Profit (Loss)     0   10,787 3,415 30,983        
Disposal Group, Including Discontinued Operation, General and Administrative Expense     (36)   8,113 2,757 24,471        
Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax     36   2,188 503 4,758        
Discontinued Operation, Tax Effect of Discontinued Operation     2   906 143 2,016        
Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent   $ 34 34 $ 1,282 1,282 360 2,742 $ 360 $ 2,742    
Disposal Group Including Discontinued Operations Amortization of Intangible Assets     $ 0   $ 486 $ 155 $ 1,754        
Scenario, Previously Reported [Member]                      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                      
Cash and cash equivalents                   31,714  
Accounts receivable, net                   298,761  
Prepaid expenses and income taxes                   14,513  
Deferred income tax assets                   19,067  
Workers' compensation receivable                   18,728  
Other current assets [2]                   2,310  
Disposal Group, Including Discontinued Operation, Assets, Current                   0  
Assets, Current                   385,093  
Property and equipment, net                   46,819  
Goodwill                   570,697  
Identifiable intangible assets, net                   262,569  
Other non-current assets [2]                   5,728  
Disposal Group, Including Discontinued Operation, Other Assets                   0  
Assets                   1,270,906  
Current portion of long-term debt, net [2]                   17,439  
Accounts payable                   8,876  
Accrued payroll and contract professional pay                   87,189  
Workers’ compensation loss reserves                   29,135  
Income taxes payable                   340  
Other current liabilities                   21,776  
Disposal Group, Including Discontinued Operation, Liabilities, Current                   0  
Liabilities, Current                   164,755  
Long-term debt, net [2]                   394,418  
Deferred income tax liabilities                   67,909  
Other long-term liabilities                   9,416  
Disposal Group, Including Discontinued Operation, Liabilities, Noncurrent                   0  
Liabilities                   $ 636,498  
[1] Cash and cash equivalents at December 31, 2014 include $2.9 million from the Physician Segment (see "Note 4. Discontinued Operations").
[2] The December 31, 2014 balances have been adjusted to reflect unamortized deferred loan costs attributable to term loans as a reduction of the related debt balances whereas they were previously included in other current assets and other non-current assets. This change in presentation was the result of the early adoption of ASU 2015-03. The December 31, 2014 balances for long-term debt and the current portion of long-term debt are now reflected net of $2.5 million and $0.8 million of unamortized deferred loan costs, respectively.