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Segment Reporting (Tables)

6 Months Ended

Jun. 30, 2021

Segment Reporting [Abstract]

Schedule of Segment Revenue and Operating Income

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

						Three Months Ended June 30,												Six Months Ended June 30,
						2021						2020						2021						2020
Revenues:
Surgical Facility Services						$	525.8					$	361.0					$	1,021.6					$	784.2
Ancillary Services						17.5						13.2						34.1						30.2
Optical Services						—						0.5						—						1.3
Total						$	543.3					$	374.7					$	1,055.7					$	815.7
Adjusted EBITDA:
Surgical Facility Services						$	95.6					$	80.0					$	190.6					$	147.2
Ancillary Services						(0.1)						(1.3)						(1.0)						(3.3)
Optical Services						—						0.2						—						0.6
All other						(19.6)						(20.7)						(40.8)						(39.8)
Total						$	75.9					$	58.2					$	148.8					$	104.7
Reconciliation of Adjusted EBITDA:
Income (loss) before income taxes						$	6.1					$	(4.5)					$	17.1					$	(28.1)
Net income attributable to non-controlling interests						(35.7)						(28.6)						(67.5)						(47.7)
Depreciation and amortization						25.2						23.4						50.9						45.2
Interest expense, net						53.4						49.2						106.7						96.3
Equity-based compensation expense						4.1						3.4						9.3						6.9
Transaction, integration and acquisition costs (1)						11.4						10.1						20.8						22.7
Loss on disposals and deconsolidations, net						1.0						2.9						0.1						6.4
Litigation settlement and other litigation costs (2)						0.8						2.3						1.8						3.8
Loss on debt extinguishment						9.6						—						9.6						—
Gain on escrow release (3)						—						—						—						(0.8)
Adjusted EBITDA						$	75.9					$	58.2					$	148.8					$	104.7

(1)This amount includes transaction and integration costs of $9.2 million and $4.9 million for the three months ended June 30, 2021 and 2020, respectively. This amount further includes start-up costs related to a de novo surgical hospital of $2.2 million and $5.2 million for the three months ended June 30, 2021 and 2020, respectively.

This amount includes transaction and integration costs of $14.5 million and $10.4 million for the six months ended June 30, 2021 and 2020, respectively. This amount further includes start-up costs related to a de novo surgical hospital of $6.3 million and $12.3 million for the six months ended June 30, 2021 and 2020, respectively.

(2)This amount includes other litigation costs of $0.8 million and $2.3 million for the three months ended June 30, 2021 and 2020, respectively.

This amount includes other litigation costs of $1.8 million and $2.6 million for the six months ended June 30, 2021 and 2020, respectively. This amount includes litigation settlement costs of $1.2 million for the six months ended June 30, 2020, with no comparable costs in the 2021 period.

(3)Included in other income in the condensed consolidated statement of operations for the six months ended June 30, 2020.

Reconciliation of Assets from Segment to Consolidated

						June 30, 2021						December 31, 2020
Assets:
Surgical Facility Services						$	5,021.6					$	4,962.4
Ancillary Services						32.7						35.0
All other						566.3						415.8
Total assets						$	5,620.6					$	5,413.2

Schedule of Financial Information by Reportable Segment

						Six Months Ended June 30,
						2021						2020
Cash purchases of property and equipment:
Surgical Facility Services						$	27.2					$	16.8
Ancillary Services						0.2						0.1
All other						0.6						3.0
Total cash purchases of property and equipment						$	28.0					$	19.9

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- Definition

Tabular disclosure of all significant reconciling items in the reconciliation of total assets from reportable segments to the entity's consolidated assets.

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