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Segment Reporting | 6 Months Ended
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Jun. 30, 2023
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 includes 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,
|  | 2023 |  | 2022 |  | 2023 |  | 2022
Revenues: |  |  |  |  |  |  |  |
Surgical Facility Services |  | $ | 650.2 |  |  | $ | 597.9 |  |  | $ | 1,299.2 |  |  | $ | 1,176.7 |
Ancillary Services |  | 17.4 |  |  | 17.5 |  |  | 34.6 |  |  | 34.9 |
Total |  | $ | 667.6 |  |  | $ | 615.4 |  |  | $ | 1,333.8 |  |  | $ | 1,211.6 |
Adjusted EBITDA: |  |  |  |  |  |  |  |
Surgical Facility Services |  | $ | 126.7 |  |  | $ | 108.7 |  |  | $ | 245.5 |  |  | $ | 209.7 |
Ancillary Services |  | (0.1) |  |  | (0.8) |  |  | (1.5) |  |  | (0.7) |
All other |  | (26.4) |  |  | (21.8) |  |  | (53.7) |  |  | (45.8) |
Total |  | $ | 100.2 |  |  | $ | 86.1 |  |  | $ | 190.3 |  |  | $ | 163.2 |
Reconciliation of Adjusted EBITDA: |  |  |  |  |  |  |  |
Income before income taxes |  | $ | 49.9 |  |  | $ | 19.6 |  |  | $ | 49.5 |  |  | $ | 63.7 |
Net income attributable to non-controlling interests |  | (38.8) |  |  | (33.7) |  |  | (64.9) |  |  | (64.3) |
Interest expense, net |  | 47.7 |  |  | 56.9 |  |  | 94.5 |  |  | 113.2 |
Depreciation and amortization |  | 24.4 |  |  | 28.0 |  |  | 58.1 |  |  | 55.4 |
Equity-based compensation expense |  | 4.6 |  |  | 4.3 |  |  | 8.8 |  |  | 8.0 |
Transaction, integration and acquisition costs (1) |  | 13.0 |  |  | 8.2 |  |  | 25.8 |  |  | 15.3 |
Net (gain) loss on disposals, consolidations and deconsolidations |  | (8.8) |  |  | 1.1 |  |  | 1.7 |  |  | 1.0 |
Litigation settlements and regulatory change impact (2) |  | 1.7 |  |  | 1.7 |  |  | 9.7 |  |  | (29.1) |
Undesignated derivative activity |  | — |  |  | — |  |  | 0.6 |  |  | — |
Other (3) |  | 6.5 |  |  | — |  |  | 6.5 |  |  | — |
Adjusted EBITDA |  | $ | 100.2 |  |  | $ | 86.1 |  |  | $ | 190.3 |  |  | $ | 163.2 |
(1)This amount includes transaction and integration costs of $12.0 million and $8.2 million for the three months ended June 30, 2023 and 2022, respectively. This amount further includes start-up costs related to de novo surgical facilities of $1.0 million for the three months ended June 30, 2023, with no comparable costs for the three months ended June 30, 2022. This amount includes transaction and integration costs of $24.5 million and $15.3 million for the six months ended June 30, 2023 and 2022, respectively. This amount further includes start-up costs related to de novo surgical facilities of $1.3 million for the six months ended June 30, 2023, with no comparable costs for the six months ended June 30, 2022. (2)This amount includes a litigation settlement loss of $1.5 million for the three months ended June 30, 2023, with no comparable costs for the three months ended June 30, 2022. This amount also includes other litigation costs of $0.2 million and $1.7 million for the three months ended June 30, 2023 and 2022, respectively. This amount includes a litigation settlement loss of $4.5 million and a gain of $32.8 million for the six months ended June 30, 2023 and 2022, respectively. This amount also includes other litigation costs of $0.8 million and $3.7 million for the six months ended June 30, 2023 and 2022, respectively. Additionally, the six months ended June 30, 2023, includes $4.4 million related to the impact of recent changes in Florida law regarding the use of letters of protection. (3)This amount includes estimates for the net impact of a cyber event and losses from a divested business.
|  | June 30, 2023 |  | December 31, 2022
Assets: |  |  |  |
Surgical Facility Services |  | $ | 6,031.2 |  |  | $ | 6,001.1 |
Ancillary Services |  | 39.6 |  |  | 41.7 |
All other |  | 549.8 |  |  | 639.3 |
Total assets |  | $ | 6,620.6 |  |  | $ | 6,682.1 |
|  | Six Months Ended June 30,
|  | 2023 |  | 2022
Cash purchases of property and equipment: |  |  |  |
Surgical Facility Services |  | $ | 49.5 |  |  | $ | 36.9 |
Ancillary Services |  | 0.6 |  |  | 0.5 |
All other |  | — |  |  | 3.2 |
Total cash purchases of property and equipment |  | $ | 50.1 |  |  | $ | 40.6 |

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-15 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-31 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-42 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-40 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//280/tableOfContent Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-26 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 34 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-34 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-41 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 + Details
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