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Goodwill and Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract] |
Summary of Intangible Assets, Net | Intangible assets, net, consist of the following (in thousands):
|  | December 31, 2016 |
|  | Gross Carrying Value |  |  | Accumulated Amortization |  |  | Net Carrying Value |
Physician and hospital agreements |  | $ | 347,862 |  |  | $ | (168,488 | ) |  | $ | 179,374 |
Customer relationships |  |  | 443,300 |  |  |  | (27,368 | ) |  |  | 415,932 |
Trade names |  |  | 43,156 |  |  |  | (1,604 | ) |  |  | 41,552 |
Patented and other technology |  |  | 37,503 |  |  |  | (5,832 | ) |  |  | 31,671 |
|  | $ | 871,821 |  |  | $ | (203,292 | ) |  | $ | 668,529 |
|  | December 31, 2015 |
|  | Gross Carrying Value |  |  | Accumulated Amortization |  |  | Net Carrying Value |
Physician and hospital agreements |  | $ | 265,465 |  |  | $ | (130,050 | ) |  | $ | 135,415 |
Customer relationships |  |  | 248,880 |  |  |  | (10,612 | ) |  |  | 238,268 |
Trade names |  |  | 28,620 |  |  |  | (597 | ) |  |  | 28,023 |
Patented and other technology |  |  | 24,230 |  |  |  | (1,717 | ) |  |  | 22,513 |
|  | $ | 567,195 |  |  | $ | (142,976 | ) |  | $ | 424,219 |
Amortization Expenses for Existing Intangible Assets for the Next Five Years | Amortization expense for existing intangible assets for the next five years is expected to be as follows (in thousands):
2017 |  | $ | 65,560 |
2018 |  |  | 61,374 |
2019 |  |  | 57,060 |
2020 |  |  | 51,298 |
2021 |  |  | 44,896 |

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- Definition Tabular disclosure of amortization expense of assets, excluding financial assets, that lack physical substance, having a limited useful life. + References No definition available. + Details
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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=66006027&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=66006027&loc=d3e16265-109275 + Details
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