Segment Reporting (Tables)

3 Months Ended

Mar. 31, 2020

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,
	2020			2019
Revenues:
Surgical facility services	$	423.2		$	395.8
Ancillary services	17.0			19.9
Optical services	0.8			1.1
Total	$	441.0		$	416.8
Adjusted EBITDA:
Surgical facility services	$	67.2		$	68.4
Ancillary services	(2.0		)	1.2
Optical services	0.4			0.5
All other	(19.1		)	(19.4		)
Total	$	46.5		$	50.7
Reconciliation of Adjusted EBITDA:
(Loss) income before income taxes	$	(23.6	)	$	5.2
Net income attributable to non-controlling interests	(19.1		)	(23.6		)
Depreciation and amortization	21.8			18.8
Interest expense, net	47.1			42.0
Equity-based compensation expense	3.5			1.9
Transaction, integration and acquisition costs (1)	12.6			3.4
Loss on disposals and deconsolidations, net	3.5			0.6
Litigation settlement and other litigation costs (2)	1.5			—
Gain on escrow release (3)	(0.8		)	—
Tax receivable agreement expense	—			2.4
Adjusted EBITDA	$	46.5		$	50.7

(1) This amount includes transaction and integration costs of $5.5 million and $2.0 million for the three months ended March 31, 2020 and 2019, respectively. This amount further includes other acquisition costs and start-up costs related to a de novo surgical hospital of $7.1 million and $1.4 million for the three months ended March 31, 2020 and 2019, respectively.

(2) This amount includes litigation settlement costs of $1.2 million and other litigation costs of $0.3 million for the three months ended March 31, 2020, with no comparable costs in the same 2019 period.

(3) Included in other income in the condensed consolidated statement of operations for the three months ended March 31, 2020, with no comparable gain in the same 2019 period.

Reconciliation of Assets from Segment to Consolidated

	March 31, 2020		December 31, 2019
Assets:
Surgical facility services	$	4,596.9	$	4,580.4
Ancillary services	69.9		69.6
Optical services	17.7		17.7
All other	406.4		351.2
Total assets	$	5,090.9	$	5,018.9

Schedule of Financial Information by Reportable Segment

	Three Months Ended March 31,
	2020		2019
Cash purchases of property and equipment, net:
Surgical facility services	$	11.0	$	10.9
Ancillary services	0.1		0.1
All other	0.7		0.8
Total cash purchases of property and equipment, net	$	11.8	$	11.8