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Segment Reporting (Tables) | 6 Months Ended
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Jun. 30, 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 June 30, |  | Six Months Ended June 30,
|  | 2022 |  | 2021 |  | 2022 |  | 2021
Revenues: |  |  |  |  |  |  |  |
Surgical Facility Services |  | $ | 597.9 |  |  | $ | 525.8 |  |  | $ | 1,176.7 |  |  | $ | 1,021.6 |
Ancillary Services |  | 17.5 |  |  | 17.5 |  |  | 34.9 |  |  | 34.1 |
Total |  | $ | 615.4 |  |  | $ | 543.3 |  |  | $ | 1,211.6 |  |  | $ | 1,055.7 |
Adjusted EBITDA: |  |  |  |  |  |  |  |
Surgical Facility Services |  | $ | 108.7 |  |  | $ | 95.6 |  |  | $ | 209.7 |  |  | $ | 190.6 |
Ancillary Services |  | (0.8) |  |  | (0.1) |  |  | (0.7) |  |  | (1.0) |
All other |  | (21.8) |  |  | (19.6) |  |  | (45.8) |  |  | (40.8) |
Total |  | $ | 86.1 |  |  | $ | 75.9 |  |  | $ | 163.2 |  |  | $ | 148.8 |
Reconciliation of Adjusted EBITDA: |  |  |  |  |  |  |  |
Income before income taxes |  | $ | 19.6 |  |  | $ | 6.1 |  |  | $ | 63.7 |  |  | $ | 17.1 |
Net income attributable to non-controlling interests |  | (33.7) |  |  | (35.7) |  |  | (64.3) |  |  | (67.5) |
Depreciation and amortization |  | 28.0 |  |  | 25.2 |  |  | 55.4 |  |  | 50.9 |
Interest expense, net |  | 56.9 |  |  | 53.4 |  |  | 113.2 |  |  | 106.7 |
Equity-based compensation expense |  | 4.3 |  |  | 4.1 |  |  | 8.0 |  |  | 9.3 |
Transaction, integration and acquisition costs (1) |  | 8.2 |  |  | 11.4 |  |  | 15.3 |  |  | 20.8 |
Loss on disposals and deconsolidations, net |  | 1.1 |  |  | 1.0 |  |  | 1.0 |  |  | 0.1 |
Loss (gain) on litigation settlement and other litigation costs (2) |  | 1.7 |  |  | 0.8 |  |  | (29.1) |  |  | 1.8 |
Loss on debt extinguishment |  | — |  |  | 9.6 |  |  | — |  |  | 9.6 |
Adjusted EBITDA |  | $ | 86.1 |  |  | $ | 75.9 |  |  | $ | 163.2 |  |  | $ | 148.8 |
(1)This amount includes transaction and integration costs of $8.2 million and $9.2 million for the three months ended June 30, 2022 and 2021, respectively. This amount further includes start-up costs related to a de novo surgical hospital of $2.2 million for the three months ended June 30, 2021. This amount includes transaction and integration costs of $15.3 million and $14.5 million for the six months ended June 30, 2022 and 2021, respectively. This amount further includes start-up costs related to a de novo surgical hospital of $6.3 million for the six months ended June 30, 2021. (2)This amount includes other litigation costs of $1.7 million and $0.8 million for the three months ended June 30, 2022 and 2021, respectively. This amount includes other litigation costs of $3.7 million and $1.8 million for the six months ended June 30, 2022 and 2021, respectively. This amount also includes gain on litigation settlement of $32.8 million for the six months ended June 30, 2022.
Schedule of Reconciliation of Assets from Segment to Consolidated |
|  | June 30, 2022 |  | December 31, 2021
Assets: |  |  |  |
Surgical Facility Services |  | $ | 5,691.3 |  |  | $ | 5,552.8 |
Ancillary Services |  | 44.5 |  |  | 47.5 |
All other |  | 555.8 |  |  | 517.3 |
Total assets |  | $ | 6,291.6 |  |  | $ | 6,117.6 |
Schedule of Financial Information by Reportable Segment |
|  | Six Months Ended June 30,
|  | 2022 |  | 2021
Cash purchases of property and equipment: |  |  |  |
Surgical Facility Services |  | $ | 36.9 |  |  | $ | 27.2 |
Ancillary Services |  | 0.5 |  |  | 0.2 |
All other |  | 3.2 |  |  | 0.6 |
Total cash purchases of property and equipment |  | $ | 40.6 |  |  | $ | 28.0 |

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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. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8906-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8924-108599 + Details
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- Definition 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. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8924-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8906-108599 + Details
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- Definition 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. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8736-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8813-108599 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI https://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8906-108599 + Details
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