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Segment Reporting
 6 Months Ended
Jun. 30, 2022
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
The Company currently operates in two major lines of business that are also the Company's reportable operating segments - the operation of surgical facilities and the operation of ancillary services. The Surgical Facility Services segment consists of the operation of ASCs, surgical hospitals and anesthesia services. The Ancillary Services segment consists of multi-specialty physician practices. The "All other" line item primarily consists of the Company's corporate general and administrative functions.
The following tables present financial information for each reportable segment (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2022202120222021
Revenues:
Surgical Facility Services$597.9 $525.8 $1,176.7 $1,021.6 
Ancillary Services17.5 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 amortization28.0 25.2 55.4 50.9 
Interest expense, net56.9 53.4 113.2 106.7 
Equity-based compensation expense4.3 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, net1.1 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.
June 30,
2022		December 31,
2021
Assets:
Surgical Facility Services$5,691.3 $5,552.8 
Ancillary Services44.5 47.5 
All other555.8 517.3 
Total assets$6,291.6 $6,117.6 
Six Months Ended June 30,
20222021
Cash purchases of property and equipment:
Surgical Facility Services$36.9 $27.2 
Ancillary Services0.5 0.2 
All other3.2 0.6 
Total cash purchases of property and equipment$40.6 $28.0