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Segment Reporting (Tables)
 6 Months Ended
Jun. 30, 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 June 30,
 
Six Months Ended June 30,
 
2016
 
2015
 
2016
 
2015
Net Revenue:
 
 
 
 
 
 
 
Ambulatory Services
$
319,747

 
$
310,991

 
$
626,881

 
$
594,901

Physician Services
438,752

 
330,959

 
856,296

 
617,494

Total
$
758,499

 
$
641,950

 
$
1,483,177

 
$
1,212,395

 
 
 
 
 
 
 
 
Adjusted EBITDA:
 
 
 
 
 
 
 
Ambulatory Services
$
61,746

 
$
60,304

 
$
115,372

 
$
107,612

Physician Services
87,497

 
67,668

 
153,971

 
114,115

Total
$
149,243

 
$
127,972

 
$
269,343

 
$
221,727

 
 
 
 
 
 
 
 
Adjusted EBITDA:
$
149,243

 
$
127,972

 
$
269,343

 
$
221,727

Net earnings attributable to noncontrolling interests
57,050

 
57,072

 
110,891

 
104,789

Interest expense, net
(31,913
)
 
(30,182
)
 
(62,723
)
 
(60,429
)
Depreciation and amortization
(30,054
)
 
(23,612
)
 
(59,126
)
 
(46,430
)
Share-based compensation
(7,900
)
 
(3,883
)
 
(15,068
)
 
(7,592
)
Net change in fair value of contingent consideration
2,598

 
(6,410
)
 
2,598

 
(6,410
)
Transaction costs
(5,135
)
 
(1,982
)
 
(6,525
)
 
(3,453
)
Net gain (loss) on disposals and deconsolidations
2,595

 
(3,035
)
 
2,595

 
(3,258
)
Earnings before income taxes
$
136,484

 
$
115,940

 
$
241,985

 
$
198,944

 
 
 
 
 
 
 
 
Acquisition and Capital Expenditures:
 
 
 
 
 
 
 
Ambulatory Services
$
35,031

 
$
64,514

 
$
43,401

 
$
118,610

Physician Services
265,019

 
22,822

 
275,330

 
110,087

Total
$
300,050

 
$
87,336

 
$
318,731

 
$
228,697