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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2015
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2015
 
2014
 
2015
 
2014
Net Revenue:
 
 
 
 
 
 
 
Ambulatory Services
$
308,983

 
$
276,419

 
$
903,884

 
$
814,207

Physician Services (1)
341,244

 
225,931

 
958,738

 
225,931

Total
$
650,227

 
$
502,350

 
$
1,862,622

 
$
1,040,138

 
 
 
 
 
 
 
 
Adjusted EBITDA:
 
 
 
 
 
 
 
Ambulatory Services
$
55,353

 
$
47,853

 
$
162,965

 
$
145,475

Physician Services (1)
77,824

 
48,016

 
191,939

 
48,016

Total
$
133,177

 
$
95,869

 
$
354,904

 
$
193,491

 
 
 
 
 
 
 
 
Adjusted EBITDA:
$
133,177

 
$
95,869

 
$
354,904

 
$
193,491

Earnings from continuing operations attributable to noncontrolling interests
55,618

 
47,578

 
160,407

 
139,150

Interest expense, net
(30,242
)
 
(39,054
)
 
(90,671
)
 
(52,906
)
Depreciation and amortization
(24,106
)
 
(20,838
)
 
(70,536
)
 
(37,533
)
Share-based compensation
(3,727
)
 
(2,424
)
 
(11,319
)
 
(7,388
)
Net change in fair value of contingent consideration
(1,928
)
 
—

 
(8,338
)
 
—

Transaction costs
(2,107
)
 
(25,102
)
 
(5,560
)
 
(28,681
)
Debt extinguishment costs
—

 
(16,887
)
 
—

 
(16,887
)
Gain on deconsolidation
9,112

 
—

 
5,854

 
3,411

Earnings from continuing operations before income taxes
$
135,797

 
$
39,142

 
$
334,741

 
$
192,657

 
 
 
 
 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
 
 
 
 
Ambulatory Services (2)
$
25,872

 
$
5,759

 
$
144,482

 
$
45,207

Physician Services (1)
25,927

 
2,339

 
136,014

 
2,339

Total
$
51,799

 
$
8,098

 
$
280,496

 
$
47,546


                           
(1) Amounts reported for the 2014 periods represent the results of operations from July 16, 2014, the acquisition date of Sheridan, through September 30, 2014.
(2) Excludes the purchase price to acquire Sheridan.