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v3.21.2

Segment Reporting - Revenues and Operating Income by Reportable Segment (Details) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2021 USD ($) | Sep. 30, 2020 USD ($) | Sep. 30, 2021 USD ($) segment | Sep. 30, 2020 USD ($)
Segment Reporting [Abstract] |  |  |  |
Number of operating segments | segment |  |  | 2 |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 559.2 | $ 496.1 | $ 1,614.9 | $ 1,311.8
Adjusted EBITDA | 76.4 | 61.1 | 225.2 | 165.8
Reconciliation of Adjusted EBITDA: |  |  |  |
Income (loss) before income taxes | 9.4 | (33.0) | 26.5 | (61.1)
Net income attributable to non-controlling interests | (31.1) | (27.3) | (98.6) | (75.0)
Depreciation and amortization | 25.2 | 24.1 | 76.1 | 69.3
Interest expense, net | 54.2 | 51.5 | 160.9 | 147.8
Equity-based compensation expense | 4.1 | 3.0 | 13.4 | 9.9
Transaction, integration and acquisition costs | 10.2 | 7.5 | 31.0 | 30.2
Impairment charges | 0.0 | 33.5 | 0.0 | 33.5
Loss on disposals and deconsolidations, net | 1.9 | 0.7 | 2.0 | 7.1
Litigation settlement and other litigation costs | 2.5 | 1.1 | 4.3 | 4.9
(Gain) loss on debt extinguishment | (0.5) | 0.0 | 9.1 | 0.0
Gain on escrow release | 0.0 | 0.0 | 0.0 | (0.8)
Hurricane-related operating losses | 0.5 | 0.0 | 0.5 | 0.0
Adjusted EBITDA | 76.4 | 61.1 | 225.2 | 165.8
Transaction and integration costs | 10.2 | 5.4 | 24.7 | 15.8
Start-up costs |  | 2.1 | 6.3 | 14.4
Other litigation costs | 2.5 | 1.1 | 4.3 | 3.7
Litigation settlement | 0.0 | 0.0 | 0.0 | 1.2
Operating Segments | Surgical Facility Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 542.1 | 478.6 | 1,563.7 | 1,262.8
Adjusted EBITDA | 96.9 | 82.5 | 287.5 | 229.7
Reconciliation of Adjusted EBITDA: |  |  |  |
Adjusted EBITDA | 96.9 | 82.5 | 287.5 | 229.7
Operating Segments | Ancillary Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 17.1 | 16.7 | 51.2 | 46.9
Adjusted EBITDA | 0.0 | (0.6) | (1.0) | (3.9)
Reconciliation of Adjusted EBITDA: |  |  |  |
Adjusted EBITDA | 0.0 | (0.6) | (1.0) | (3.9)
Operating Segments | Optical Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 0.0 | 0.8 | 0.0 | 2.1
Adjusted EBITDA | 0.0 | 0.4 | 0.0 | 1.0
Reconciliation of Adjusted EBITDA: |  |  |  |
Adjusted EBITDA | 0.0 | 0.4 | 0.0 | 1.0
All other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | (20.5) | (21.2) | (61.3) | (61.0)
Reconciliation of Adjusted EBITDA: |  |  |  |
Adjusted EBITDA | $ (20.5) | $ (21.2) | $ (61.3) | $ (61.0)

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