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Segment Information (Tables)

3 Months Ended

Mar. 31, 2019

Summary of Reconciliation of Segment EBITDA to Income before Income Taxes

The following tables set forth the financial information by operating segment, including a reconciliation of Segment EBITDA to income before income taxes (in thousands):

		Three Months Ended March 31,
		2019				2018
Revenue:
U.S. Facilities		$	487,960			$	462,405
U.K. Facilities			272,657				279,836
Corporate and Other			—				—
		$	760,617			$	742,241
Segment EBITDA (1):
U.S. Facilities		$	119,008			$	117,124
U.K. Facilities			40,056				51,152
Corporate and Other			(23,061	)			(22,545	)
		$	136,003			$	145,731

		Three Months Ended March 31,
		2019				2018
Segment EBITDA (1)		$	136,003			$	145,731
Less:
Equity-based compensation expense			(6,101	)			(6,919	)
Transaction-related expenses			(4,321	)			(4,768	)
Debt extinguishment costs			—				(940	)
Interest expense, net			(48,130	)			(45,243	)
Depreciation and amortization			(40,580	)			(39,773	)
Income before income taxes		$	36,871			$	48,088

Summary of Assets by Operating Segment

		March 31, 2019				December 31, 2018
Assets (2):
U.S. Facilities		$	3,950,684			$	3,779,040
U.K. Facilities			2,633,347				2,175,809
Corporate and Other			201,486				217,655
		$	6,785,517			$	6,172,504

(1) Segment EBITDA is defined as income before provision for income taxes, equity-based compensation expense, transaction-related expenses, debt extinguishment costs, interest expense and depreciation and amortization. The Company uses Segment EBITDA as an analytical indicator to measure the performance of the Company’s segments and to develop strategic objectives and operating plans for those segments. Segment EBITDA is commonly used as an analytical indicator within the health care industry, and also serves as a measure of leverage capacity and debt service ability. Segment EBITDA should not be considered as a measure of financial performance under GAAP, and the items excluded from Segment EBITDA are significant components in understanding and assessing financial performance. Because Segment EBITDA is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, Segment EBITDA, as presented, may not be comparable to other similarly titled measures of other companies.

(2) Assets include property and equipment for the U.S. Facilities of $1.4 billion, U.K. Facilities of $1.7 billion and corporate and other of $42.9 million at March 31, 2019. Assets include property and equipment for the U.S. Facilities of $1.4 billion, U.K. Facilities of $1.7 billion and corporate and other of $44.9 million at December 31, 2018.

Goodwill [Member]

Summary of Assets by Operating Segment

		U.S. Facilities				U.K. Facilities				Corporate and Other				Consolidated
Goodwill:
Balance at January 1, 2019		$	2,044,837			$	351,575			$	—			$	2,396,412
Increase from 2019 acquisitions			34,523				—				—				34,523
Increase from contribution of redeemable noncontrolling interests			3,085				—				—				3,085
Foreign currency translation gain			—				7,979				—				7,979
Balance at March 31, 2019		$	2,082,445			$	359,554			$	—			$	2,441,999

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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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-Topic 280
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+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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-Name Accounting Standards Codification
-Topic 280
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-Section 50
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