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Segment Reporting (Tables)

3 Months Ended

Mar. 31, 2023

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,
						2023						2022
Revenues:
Surgical Facility Services						$	649.0					$	578.8
Ancillary Services						17.2						17.4
Total						$	666.2					$	596.2
Adjusted EBITDA:
Surgical Facility Services						$	118.8					$	101.0
Ancillary Services						(1.4)						0.1
All other						(27.3)						(24.0)
Total						$	90.1					$	77.1
Reconciliation of Adjusted EBITDA:
(Loss) income before income taxes						$	(0.4)					$	44.1
Net income attributable to non-controlling interests						(26.1)						(30.6)
Interest expense, net						46.8						56.3
Depreciation and amortization						33.7						27.4
Equity-based compensation expense						4.2						3.7
Transaction, integration and acquisition costs (1)						12.8						7.1
Net loss (gain) on disposals, consolidations and deconsolidations (2)						10.5						(0.1)
Litigation settlements and regulatory change impact (3)						8.0						(30.8)
Undesignated derivative activity						0.6						—
Adjusted EBITDA						$	90.1					$	77.1

(1)This amount includes transaction and integration costs of $12.5 million and $7.1 million for the three months ended March 31, 2023 and 2022, respectively. This amount further includes start-up costs related to de novo surgical facilities of $0.3 million for the three months ended March 31, 2023, with no comparable costs for the three months ended March 31, 2022.

(2)Includes an $8.5 million loss for the three months ended March 31, 2023 related to a surgical facility with a book value of the asset group in excess of the fair value based on a letter of intent.

(3)This amount includes a litigation settlement loss of $3.0 million and a gain of $32.8 million for the three months ended March 31, 2023 and 2022, respectively. This amount also includes other litigation costs of $0.6 million and $2.0 million for the three months ended March 31, 2023 and 2022, respectively. Additionally, the three months ended March 31, 2023, includes $4.4 million related to the impact of recent changes in Florida law regarding the use of letters of protection.

Schedule of Reconciliation of Assets from Segment to Consolidated

						March 31, 2023						December 31, 2022
Assets:
Surgical Facility Services						$	6,049.2					$	6,001.1
Ancillary Services						41.4						41.7
All other						552.7						639.3
Total assets						$	6,643.3					$	6,682.1

Schedule of Financial Information by Reportable Segment

						Three Months Ended March 31,
						2023						2022
Cash purchases of property and equipment:
Surgical Facility Services						$	23.8					$	17.7
Ancillary Services						0.5						0.2
All other						—						0.3
Total cash purchases of property and equipment						$	24.3					$	18.2

X

- 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.

+ References

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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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