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Segment Reporting - Revenues and Operating Income by Reportable Segment (Details) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Segment Reporting Information [Line Items] |  |  |
Revenues | $ 2,225.1 | $ 1,860.1 | $ 1,831.4
Adjusted EBITDA | 339.6 | 256.6 | 258.6
Reconciliation of Adjusted EBITDA: |  |  |
Income (loss) before income taxes | 81.2 | (18.8) | 54.6
Less: Net income attributable to non-controlling interests | (141.6) | (117.4) | (119.9)
Depreciation and amortization | 98.8 | 94.8 | 76.5
Interest expense, net | 221.0 | 201.8 | 178.9
Equity-based compensation expense | 17.4 | 13.2 | 10.2
Transaction, integration and acquisition costs | 46.1 | 38.2 | 36.1
Loss (gain) on disposals, net | 2.2 | 5.7 | (4.4)
Litigation settlements and other litigation costs | 5.6 | 6.4 | 4.6
Impairment charges | 0.0 | 33.5 | 7.9
Gain on escrow release | 0.0 | (0.8) | 0.0
Loss on debt extinguishment | 9.1 | 0.0 | 11.7
Hurricane-related impacts | (0.2) | 0.0 | 0.0
Tax receivable agreement expense | 0.0 | 0.0 | 2.4
Transaction and integration costs | 39.8 | 23.2 | 19.0
Start-up costs related to de novo surgical hospital | 6.3 | 15.0 | 17.1
Litigation settlement | 0.0 | 1.2 | 0.2
Other litigation costs | 5.6 | 5.2 | 4.4
All other |  |  |
Segment Reporting Information [Line Items] |  |  |
Adjusted EBITDA | (84.1) | (80.7) | (74.3)
Surgical Facility Services | Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 2,157.8 | 1,793.4 | 1,748.2
Adjusted EBITDA | 422.0 | 339.3 | 328.9
Ancillary Services | Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 67.3 | 63.6 | 79.4
Adjusted EBITDA | 1.7 | (3.4) | 2.6
Optical Services | Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 0.0 | 3.1 | 3.8
Adjusted EBITDA | $ 0.0 | $ 1.4 | $ 1.4

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