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Goodwill and Intangible Assets (Tables)

12 Months Ended

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

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X

- 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

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