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Segment Reporting (Tables)
6 Months Ended
Jun. 30, 2015
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
Net Revenue:
 
 
 
 
 
 
 
Ambulatory Services
$
310,991

 
$
278,227

 
$
594,901

 
$
537,788

Physician Services
330,959

 

 
617,494

 

Total
$
641,950

 
$
278,227

 
$
1,212,395

 
$
537,788

 
 
 
 
 
 
 
 
Adjusted EBITDA:
 
 
 
 
 
 
 
Ambulatory Services
$
60,304

 
$
51,616

 
$
107,612

 
$
97,622

Physician Services
67,668

 

 
114,115

 

Total
$
127,972

 
$
51,616

 
$
221,727

 
$
97,622

 
 
 
 
 
 
 
 
Adjusted EBITDA:
$
127,972

 
$
51,616

 
$
221,727

 
$
97,622

Earnings from continuing operations attributable to noncontrolling interests
57,072

 
48,918

 
104,789

 
91,572

Interest expense, net
(30,182
)
 
(6,892
)
 
(60,429
)
 
(13,852
)
Depreciation and amortization
(23,612
)
 
(8,436
)
 
(46,430
)
 
(16,695
)
Share-based compensation
(3,883
)
 
(2,506
)
 
(7,592
)
 
(4,964
)
Net change in fair value of contingent consideration
(6,410
)
 

 
(6,410
)
 

Transaction costs
(1,982
)
 
(3,579
)
 
(3,453
)
 
(3,579
)
Gain (loss) on deconsolidation
(3,035
)
 
1,366

 
(3,258
)
 
3,411

Earnings from continuing operations before income taxes
$
115,940

 
$
80,487

 
$
198,944

 
$
153,515

 
 
 
 
 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
 
 
 
 
Ambulatory Services
$
64,514

 
$
28,436

 
$
118,610

 
$
40,512

Physician Services
22,822

 

 
110,087

 

Total
$
87,336

 
$
28,436

 
$
228,697

 
$
40,512