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Segment Reporting (Tables)
 3 Months Ended
Mar. 31, 2016
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The following table presents financial information for each reportable segment (in thousands):
 
Three Months Ended March 31,
 
2016
 
2015
Net Revenue:
 
 
 
Ambulatory Services
$
307,134

 
$
283,910

Physician Services
417,544

 
286,535

Total
$
724,678

 
$
570,445

 
 
 
 
Adjusted EBITDA:
 
 
 
Ambulatory Services
$
53,626

 
$
47,308

Physician Services
66,474

 
46,447

Total
$
120,100

 
$
93,755

 
 
 
 
Adjusted EBITDA:
$
120,100

 
$
93,755

Earnings attributable to noncontrolling interests
53,841

 
47,717

Interest expense, net
(30,810
)
 
(30,247
)
Depreciation and amortization
(29,072
)
 
(22,818
)
Share-based compensation
(7,168
)
 
(3,709
)
Transaction costs
(1,390
)
 
(1,471
)
Net loss on deconsolidations
—

 
(223
)
Earnings before income taxes
$
105,501

 
$
83,004

 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
Ambulatory Services
$
8,371

 
$
54,096

Physician Services
10,310

 
87,265

Total
$
18,681

 
$
141,361