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Acquisitions (Tables)
 9 Months Ended
Sep. 30, 2021
Business Combination and Asset Acquisition [Abstract]  
Schedule of Assets Acquired and Liabilities Assumed The preliminary fair value of assets acquired and liabilities assumed is (in millions):
Purchase Price Allocation
Total purchase consideration$305.4 
Allocation of consideration to assets acquired and liabilities assumed:
Cash and cash equivalents$10.7 
Accounts receivable4.7 
Prepaid expenses and other current assets0.4 
Property, equipment and software0.3 
Operating lease right-of-use assets1.7 
Deferred income tax assets0.9 
Intangible assets117.3 
Goodwill176.4 
Accounts payable(0.5)
Current portion of customer liabilities(1.1)
Accrued compensation and benefits(0.7)
Current portion of operating lease liabilities(0.4)
Other accrued expenses(2.0)
Non-current portion of customer liabilities(1.0)
Non-current portion of operating lease liabilities(1.3)
Net assets acquired$305.4 
Schedule of Intangible Assets Identified with Acquisition
The intangible assets preliminarily identified in conjunction with the VisitPay Acquisition are as follows:

Useful LifeGross Carrying Value
Customer Relationships
10 years
$2.3 
Technology
11 years
$114.0 
Tradename
3 years
$1.0 
Schedule of Acquisitions
During 2020, the Company acquired the following businesses:

Company NameDescription of the BusinessDescription of the Acquisition
SCHEDULING.COM, INC. d/b/a SCI Solutions, Inc. (“SCI”)Provider of software-as-a-service (“SaaS”)-based scheduling and patient access solutionsPurchased all outstanding equity interests
RevWorks services business (acquired from Cerner Corporation)Provider of revenue cycle management servicesPurchased certain assets relating to the RevWorks services business
Schedule of Pro Forma Results
The following table summarizes, on a pro forma basis, the combined results of the Company as though the VisitPay Acquisition had occurred as of January 1, 2020 and the SCI and RevWorks acquisitions had occurred as of January 1, 2019. These pro forma results are not necessarily indicative of the actual consolidated results had the acquisitions occurred as of those dates or of the future consolidated operating results for any period. Pro forma results are (in millions):

Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Net services revenue$379.7 $310.6 $1,083.0 $998.1 
Net income (loss)$18.7 $(4.0)$56.9 $34.8