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Segment Reporting (Tables)

3 Months Ended

Mar. 31, 2022

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 March 31,
						2022						2021
Revenues:
Surgical Facility Services						$	578.8					$	495.8
Ancillary Services						17.4						16.6
Total						$	596.2					$	512.4
Adjusted EBITDA:
Surgical Facility Services						$	101.0					$	95.0
Ancillary Services						0.1						(0.9)
All other						(24.0)						(21.2)
Total						$	77.1					$	72.9
Reconciliation of Adjusted EBITDA:
Income before income taxes						$	44.1					$	11.0
Net income attributable to non-controlling interests						(30.6)						(31.8)
Depreciation and amortization						27.4						25.7
Interest expense, net						56.3						53.3
Equity-based compensation expense						3.7						5.2
Transaction, integration and acquisition costs (1)						7.1						9.4
Gain on disposals and deconsolidations, net						(0.1)						(0.9)
(Gain) loss on litigation settlement and other litigation costs (2)						(30.8)						1.0
Adjusted EBITDA						$	77.1					$	72.9

(1)This amount includes transaction and integration costs of $7.1 million and $5.3 million for the three months ended March 31, 2022 and 2021, respectively. This amount further includes start-up costs related to a de novo surgical hospital of $4.1 million for the three months ended March 31, 2021.

(2)This amount includes other litigation costs of $2.0 million and $1.0 million for the three months ended March 31, 2022 and 2021, respectively. This amount also includes gain on litigation settlement of $32.8 million for the three months ended March 31, 2022, with no comparable activity in the 2021 period.

Schedule of Reconciliation of Assets from Segment to Consolidated

						March 31, 2022						December 31, 2021
Assets:
Surgical Facility Services						$	5,651.4					$	5,552.8
Ancillary Services						44.6						47.5
All other						593.5						517.3
Total assets						$	6,289.5					$	6,117.6

Schedule of Financial Information by Reportable Segment

						Three Months Ended March 31,
						2022						2021
Cash purchases of property and equipment:
Surgical Facility Services						$	17.7					$	14.2
Ancillary Services						0.2						0.1
All other						0.3						0.2
Total cash purchases of property and equipment						$	18.2					$	14.5

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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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Tabular disclosure of the reconciliation of profit (loss) from reportable segments to the consolidated income (loss) before income tax expense (benefit) and discontinued operations. Includes, but is not limited to, reconciliation after income tax if income tax is allocated to the reportable segment.

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Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

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