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Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2015

Goodwill and Intangible Assets Disclosure [Abstract]

Summary of Intangible Assets, Net

Intangible assets, net, consist of the following (in thousands):

		December 31, 2015
		Gross Carrying Value				Accumulated Amortization				Net Carrying Value				Weighted Average Amortization Period (1) (in years)
Physician and hospital agreements		$	265,465			$	(130,050	)		$	135,415				0.4
Customer relationships			248,880				(10,612	)			238,268				9.9
Trade names			28,620				(597	)			28,023				1.2
Patented technology			24,230				(1,717	)			22,513				0.6
		$	567,195			$	(142,976	)		$	424,219

(1) The weighted average amortization period includes amortization expense related to years beyond 2020 of approximately $229.3 million.

		December 31, 2014
		Gross Carrying Value				Accumulated Amortization				Net Carrying Value				Weighted Average Amortization Period (2) (in years)
Physician and hospital agreements		$	216,458			$	(98,145	)		$	118,313				0.8
Customer relationships			75,460				(2,634	)			72,826				7.2
Trade names			7,150				(153	)			6,997				0.7
		$	299,068			$	(100,932	)		$	198,136

(2) The weighted average amortization period includes amortization expense related to years beyond 2019 of approximately $69.1 million.

Amortization Expenses for Existing Other Intangible Assets for the Next Five Years

Amortization expense for existing other intangible assets for the next five years is expected to be as follows (in thousands):

2016		$	48,967
2017			43,173
2018			38,639
2019			34,600
2020			29,535

X

- Definition

Tabular disclosure of amortization expense of assets, excluding financial assets, that lack physical substance, having a limited useful life.

+ References

No definition available.

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- Definition

Tabular disclosure of assets, excluding financial assets and goodwill, lacking physical substance with a finite life, by either major class or business segment.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 30
-Section 50
-Paragraph 2
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16323-109275

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=26713463&loc=d3e16265-109275

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