Segment Reporting (Tables)

9 Months Ended

Sep. 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 September 30,						Nine Months Ended September 30,
	2016			2015			2016			2015
Net Revenue:
Ambulatory Services	$	314,609		$	308,983		$	941,490		$	903,884
Physician Services	507,607			341,244			1,363,903			958,738
Total	$	822,216		$	650,227		$	2,305,393		$	1,862,622
Adjusted EBITDA:
Ambulatory Services	$	61,111		$	55,353		$	176,483		$	162,965
Physician Services	91,938			77,824			245,909			191,939
Total	$	153,049		$	133,177		$	422,392		$	354,904
Adjusted EBITDA:	$	153,049		$	133,177		$	422,392		$	354,904
Net earnings attributable to noncontrolling interests	55,626			55,618			166,517			160,407
Interest expense, net	(32,915		)	(30,242		)	(95,638		)	(90,671		)
Depreciation and amortization	(31,585		)	(24,106		)	(90,711		)	(70,536		)
Share-based compensation	(6,175		)	(3,727		)	(21,243		)	(11,319		)
Net change in fair value of contingent consideration	—			(1,928		)	2,598			(8,338		)
Transaction costs	(16,906		)	(2,107		)	(23,431		)	(5,560		)
Net gain on disposals and deconsolidations	4,144			9,112			6,739			5,854
Earnings before income taxes	$	125,238		$	135,797		$	367,223		$	334,741
Acquisition and Capital Expenditures:
Ambulatory Services	$	24,521		$	25,872		$	67,923		$	144,482
Physician Services	72,491			25,927			347,820			136,014
Total	$	97,012		$	51,799		$	415,743		$	280,496