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Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2014
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The following table presents financial information for each reportable segment (in thousands):
 
Year ended December 31,
 
2014
 
2013
 
2012
Net Revenue:
 
 
 
 
 
Ambulatory Services
$
1,109,935

 
$
1,057,196

 
$
899,245

Physician Services
512,014

 

 

Total
$
1,621,949

 
$
1,057,196

 
$
899,245

 
 
 
 
 
 
Adjusted Segment EBITDA:
 
 
 
 
 
Ambulatory Services
$
197,377

 
$
187,972

 
$
154,527

Physician Services
107,105

 

 

Total
$
304,482

 
$
187,972

 
$
154,527

 
 
 
 
 
 
Adjusted Segment EBITDA:
$
304,482

 
$
187,972

 
$
154,527

Earnings from continuing operations attributable to noncontrolling interests
190,809

 
183,484

 
155,661

Interest expense, net
(83,285
)
 
(29,525
)
 
(16,950
)
Depreciation and amortization
(60,344
)
 
(32,400
)
 
(29,255
)
Share-based compensation
(10,104
)
 
(8,321
)
 
(6,692
)
Transaction costs
(33,890
)
 
(300
)
 
(700
)
Debt extinguishment costs
(16,887
)
 

 

Gain on deconsolidation
3,411

 
2,237

 

Earnings from continuing operations before income taxes
$
294,192

 
$
303,147

 
$
256,591

 
 
 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
 
 
Ambulatory Services (1)
$
81,156

 
$
102,450

 
$
306,252

Physician Services
28,909

 

 

Total
$
110,065

 
$
102,450

 
$
306,252

 
2014
 
2013
Assets:
 
 
 
Ambulatory Services
$
2,528,525

 
$
2,177,944

Physician Services
2,994,999

 

Total
$
5,523,524

 
$
2,177,944

                                    
(1)
Excludes the purchase price to acquire Sheridan.