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Segment Reporting
 9 Months Ended
Sep. 30, 2014
Segment Reporting [Abstract]  
Segment Reporting
Segment Reporting

Prior to the Sheridan acquisition, the Company operated its centers as individual components and as one reportable segment. Upon completion of the Sheridan acquisition, the Company operates in primarily two major lines of business - the operation of ambulatory surgery centers and providing multi-specialty outsourced physician services.

The Company's ambulatory surgery centers represent individual components that have similar economic characteristics and are aggregated into a single operating segment which the Company refers to as its ambulatory services segment. The Company operates the ambulatory services segment as one reportable business segment, the ownership and operation of ambulatory surgery centers.

The Company provides physician services in the following specialties; anesthesia, children’s services, radiology, and emergency medicine services. These specialties are components of the physician services segment which provide healthcare services to hospitals and ambulatory surgery facilities on a fee for service or contract basis that aggregate into one reportable segment. The aggregation of these components into one reportable segment is due to their similar economic characteristics, services and customers.

The Company’s operating segment financial information is prepared on an internal management reporting basis that the chief operating decision maker uses to allocate resources and analyze the performance of the operating segments. The chief operating decision maker for the Company is its Chief Executive Officer.

The following table presents financial information for each reportable segment (in thousands):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2014
 
2013
 
2014
 
2013
Net Revenue:
 
 
 
 
 
 
 
Ambulatory Services
$
277,302

 
$
263,035

 
$
816,942

 
$
780,714

Physician Services
225,931

 
—

 
225,931

 
—

Total
$
503,233

 
$
263,035

 
$
1,042,873

 
$
780,714

 
 
 
 
 
 
 
 
Adjusted Segment EBITDA:
 
 
 
 
 
 
 
Ambulatory Services
$
47,871

 
$
45,566

 
$
145,738

 
$
138,523

Physician Services
48,016

 
—

 
48,016

 
—

Total
$
95,887

 
$
45,566

 
$
193,754

 
$
138,523

 
 
 
 
 
 
 
 
Adjusted Segment EBITDA:
$
95,887

 
$
45,566

 
$
193,754

 
$
138,523

Earnings from continuing operations attributable to noncontrolling interests
47,570

 
44,869

 
139,318

 
135,247

Interest expense, net
(39,055
)
 
(7,293
)
 
(52,909
)
 
(22,346
)
Depreciation and amortization
(20,866
)
 
(8,239
)
 
(37,620
)
 
(24,152
)
Share-based compensation
(2,424
)
 
(2,104
)
 
(7,388
)
 
(6,070
)
Transaction costs
(25,102
)
 
(110
)
 
(28,681
)
 
(285
)
Debt extinguishment costs
(16,887
)
 
—

 
(16,887
)
 
—

Gain on deconsolidation
—

 
—

 
3,411

 
2,237

Earnings from continuing operations before income taxes
$
39,123

 
$
72,689

 
$
192,998

 
$
223,154

 
 
 
 
 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
 
 
 
 
Ambulatory Services (1)
$
5,759

 
$
49,348

 
$
45,207

 
$
80,166

Physician Services
2,339

 
—

 
2,339

 
—

Total
$
8,098

 
$
49,348

 
$
47,546

 
$
80,166

 
 
 
 
 
 
 
 
 
September 30, 2014
 
December 31, 2013
Assets:
 
 
 
Ambulatory Services
$
2,450,543

 
$
2,177,944

Physician Services
2,970,814

 
—

Total
$
5,421,357

 
$
2,177,944

                                    
(1)
Excludes the purchase price to acquire Sheridan.