Segment Reporting

9 Months Ended

Sep. 30, 2015

Segment Reporting [Abstract]

Segment Reporting

Segment Reporting

A public company is required to report annual and interim financial and descriptive information about its reportable operating segments. Operating segments, as defined, are components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker, or "CODM," in deciding how to allocate resources and in assessing performance.

The Company operates in three major lines of business that are also the Company's reportable operating segments - the operation of surgical facilities, the operation of optical services and the operation of ancillary services, which includes physician practices, a diagnostic laboratory and a specialty pharmacy.

During the three months ended June 30, 2015, the Company made changes to its internal reports issued to and reviewed by the CODM.

The primary effect of these changes was to remove the allocation of general and administrative expense and assets to the reportable operating segments. The Company has revised the segment disclosures below to present corporate overhead and corporate assets as a reconciling item back to the reported condensed consolidated financial information.

The following tables present financial information for each reportable segment (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2015		2014		2015		2014
Net Revenues:
Surgical facility services	$	219,631	$	59,245	$	643,900	$	173,730
Ancillary services	16,347		13,512		41,557		39,051
Optical services	3,621		3,546		11,112		10,817
Total	$	239,599	$	76,303	$	696,569	$	223,598

	Three Months Ended September 30,						Nine Months Ended September 30,
	2015			2014			2015			2014
Segment Operating Income:
Surgical facility services	$	54,223		$	21,509		$	160,795		$	61,647
Ancillary services	4,115			4,937			11,730			14,487
Optical services	525			525			1,900			1,726
Total	$	58,863		$	26,971		$	174,425		$	77,860
General and administrative	$	(12,179	)	$	(7,000	)	$	(37,424	)	$	(20,859	)
(Loss) gain on disposal or impairment of long-lived assets, net	(1,161		)	8			1,522			(110		)
Loss on debt extinguishment	—			—			—			(1,975		)
Merger transaction and integration costs	(1,249		)	(325		)	(14,897		)	(442		)
Operating income	$	44,274		$	19,654		$	123,626		$	54,474

	Three Months Ended September 30,				Nine Months Ended September 30,
	2015		2014		2015		2014
Supplemental Information:
Depreciation and amortization:
Surgical facility services	$	6,714	$	1,705	$	20,620	$	5,158
Ancillary services	550		458		1,219		1,352
Optical services	404		409		1,219		1,226
Total	$	7,668	$	2,572	$	23,058	$	7,736
General and administrative	$	943	$	262	$	2,480	$	821
Total depreciation and amortization	$	8,611	$	2,834	$	25,538	$	8,557

	September 30, 2015		December 31, 2014
Assets:
Surgical facility services	$	1,656,762	$	1,638,874
Ancillary services	104,072		70,370
Optical services	26,561		25,876
Total	1,787,395		1,735,120
General and administrative	$	104,127	$	123,674
Total assets	$	1,891,522	$	1,858,794

	Nine Months Ended September 30,
	2015		2014
Supplemental Information:
Cash purchases of property and equipment, net:
Surgical facility services	$	13,300	$	1,391
Ancillary services	561		765
Optical services	89		315
Total	$	13,950	$	2,471
General and administrative	$	4,165	$	966
Total cash purchases of property and equipment, net	$	18,115	$	3,437