Segment and geographic information

3 Months Ended

12 Months Ended

Mar. 31, 2012

Dec. 31, 2011

Segment and geographic information

Segment and geographic information

12. Segment and geographic information

The Company operates in one line of business, which is operating physician group practices. As of March 1, 2011, due to the acquisition of MDLLC and Clinica de Radioterapia La Asuncion S.A., the Company’s operations were reorganized into two geographically organized groups: the Domestic U.S. includes eight operating segments and International is an operating segment which are aggregated into one U.S. Domestic and one International reporting segment. The accounting policies of the segments are the same as those described in the summary of significant accounting policies. Transactions between reporting segments are properly eliminated. The Company assesses performance of and makes decisions on how to allocate resources to its operating segments based on multiple factors including current and projected facility gross profit and market opportunities.

Financial information by geographic segment is as follows (in thousands):

	Three Months ended March 31,		Three Months ended March 31,
	2012		2011
Total revenues:
U.S Domestic	$	157,292	$	151,051
International	20,153		5,486
Total	$	177,445	$	156,537
Facility gross profit:
U.S. Domestic	$	45,528	$	51,189
International	11,511		3,243
Total	$	57,039	$	54,432
Depreciation and amortization:
U.S. Domestic	$	14,258	$	12,233
International	938		222
Total	$	15,196	$	12,455

	March 31,2012		December 31,2011
Total assets:
U.S. Domestic	$	901,006	$	867,448
International	135,528		131,144
Total	$	1,036,534	$	998,592
Long-lived assets:
U.S. Domestic	$	229,039	$	223,511
International	15,253		12,900
Total	$	244,292	$	236,411
Capital expenditures: *
U.S. Domestic	$	6,723	$	38,897
International	875		2,416
Total	$	7,598	$	41,313

* includes capital lease obligations related to capital expenditures

Acquisition-related goodwill and intangible assets:
U.S. Domestic	$	522,387	$	505,008
International	93,323		93,932
Total	$	615,710	$	598,940

The reconciliation of the Company’s reportable segment profit and loss is as follows (in thousands):

	Three Months ended March 31,			Three Months ended March 31,
	2012			2011
Facility gross profit	$	57,039		$	54,432
Less:
General and administrative expenses	19,682			17,836
General and administrative salaries	18,785			16,625
General and administrative depreciation and amortization	3,599			2,396
Provision for doubtful accounts	5,061			3,801
Interest expense, net	17,555			14,493
Gain on fair value adjustment of previously held equity investment	—			(234		)
Foreign currency transaction loss	49			10
Loss on foreign currency derivative contracts	594			116
Loss before income taxes	$	(8,286	)	$	(611	)

(18) Segment and geographic information

        The Company operates in one line of business, which is operating physician group practices. As of March 1, 2011, due to the acquisition of MDLLC and Clinica de Radioterapia La Asuncion S.A., the Company's operations were restructured into two geographically organized groups: the Domestic U.S. includes eight operating segments and International is an operating segment which are aggregated into one U.S. Domestic and one International reporting segment. Prior period information is not shown as a result of the current year acquisition and since the Company previously had one reporting segment. The accounting policies of the segments are the same as those described in the summary of significant accounting policies. Transactions between reporting segments are properly eliminated. The Company assesses performance of and makes decisions on how to allocate resources to its operating segments based on multiple factors including current and projected facility gross profit and market opportunities.

        Financial information by geographic segment is as follows (in thousands):

	Year ended December 31, 2011
Total revenues:
U.S Domestic	$	584,262
International		60,455
Total	$	644,717
Facility gross profit:
U.S. Domestic	$	191,211
International		33,660
Total	$	224,871
Depreciation and amortization:
U.S. Domestic	$	51,507
International		2,577
Total	$	54,084

	December 31, 2011
Total assets:
U.S. Domestic	$	867,448
International		131,144
Total	$	998,592
Long-lived assets:
U.S. Domestic	$	223,511
International		12,900
Total	$	236,411
Capital expenditures:*
U.S. Domestic	$	38,897
International		2,416
Total	$	41,313

*

includes capital lease obligations related to capital expenditures

Acquisition-related goodwill and intangible assets:
U.S. Domestic	$	505,008
International		93,932
Total	$	598,940

        Total revenues attributable to the Company's operations in Argentina were $43.5 million for the year ended December 31, 2011.

        The reconciliation of the Company's reportable segment profit and loss is as follows (in thousands):

	Year ended December 31, 2011
Facility gross profit	$	224,871
Less:
General and administrative expenses		81,688
General and administrative salaries		68,523
General and administrative depreciation and amortization		11,702
Provision for doubtful accounts		16,117
Interest expense, net		60,656
Loss on investments		250
Impairment loss		360,639
Gain on fair value adjustment of previously held equity investment		(234	)
Foreign currency transaction loss		106
Loss on forward currency derivative contracts		672
Loss before income taxes	$	(375,248	)