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Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2015
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
 
Three Months Ended March 31,
 
2015
 
2014
Net Revenue:
 
 
 
Ambulatory Services
$
283,910

 
$
259,561

Physician Services
286,535

 

Total
$
570,445

 
$
259,561

 
 
 
 
Adjusted EBITDA:
 
 
 
Ambulatory Services
$
47,308

 
$
46,006

Physician Services
46,447

 

Total
$
93,755

 
$
46,006

 
 
 
 
Adjusted EBITDA:
$
93,755

 
$
46,006

Earnings from continuing operations attributable to noncontrolling interests
47,717

 
42,654

Interest expense, net
(30,247
)
 
(6,960
)
Depreciation and amortization
(22,818
)
 
(8,259
)
Share-based compensation
(3,709
)
 
(2,458
)
Transaction costs
(1,471
)
 

Gain (loss) on deconsolidation
(223
)
 
2,045

Earnings from continuing operations before income taxes
$
83,004

 
$
73,028

 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
Ambulatory Services
$
54,096

 
$
12,076

Physician Services
87,265

 

Total
$
141,361

 
$
12,076