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Segment Reporting (Tables)
 12 Months Ended
Dec. 31, 2015
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,
 
2015
 
2014
 
2013
Net Revenue:
 
 
 
 
 
Ambulatory Services
$
1,230,050

 
$
1,109,935

 
$
1,057,196

Physician Services (1)
1,336,834

 
512,014

 
—

Total
$
2,566,884

 
$
1,621,949

 
$
1,057,196

 
 
 
 
 
 
Adjusted Segment EBITDA:
 
 
 
 
 
Ambulatory Services
$
226,229

 
$
197,377

 
$
187,972

Physician Services (1)
266,031

 
107,105

 
—

Total
$
492,260

 
$
304,482

 
$
187,972

 
 
 
 
 
 
Adjusted Segment EBITDA:
$
492,260

 
$
304,482

 
$
187,972

Earnings from continuing operations attributable to noncontrolling interests
218,181

 
190,809

 
183,484

Interest expense, net
(121,586
)
 
(83,285
)
 
(29,525
)
Depreciation and amortization
(97,493
)
 
(60,344
)
 
(32,400
)
Share-based compensation
(15,009
)
 
(10,104
)
 
(8,321
)
Net change in fair value of contingent consideration
(8,804
)
 
—

 
—

Transaction costs
(8,324
)
 
(33,890
)
 
(300
)
Debt extinguishment costs
—

 
(16,887
)
 
—

Net gain on deconsolidations
36,694

 
3,411

 
2,237

Earnings from continuing operations before income taxes
$
495,919

 
$
294,192

 
$
303,147

 
 
 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
 
 
Ambulatory Services (2)
$
168,593

 
$
81,156

 
$
102,450

Physician Services
854,401

 
28,909

 
—

Total
$
1,022,994

 
$
110,065

 
$
102,450

 
2015
 
2014
Assets:
 
 
 
Ambulatory Services
$
2,609,479

 
$
2,526,625

Physician Services
3,937,003

 
2,974,437

Total
$
6,546,482

 
$
5,501,062

                                    
(1)
On July 16, 2014, the Company completed the acquisition of Sheridan. Accordingly, historical amounts for periods prior to that date are not included.
(2)
Excludes the purchase price to acquire Sheridan in 2014.