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v3.22.2.2

Segment Reporting - Schedule of Segment Revenue and Operating Income (Details) $ in Millions | 1 Months Ended | 3 Months Ended | 9 Months Ended
--- | --- | --- | ---
Mar. 31, 2022 USD ($) | Sep. 30, 2022 USD ($) | Sep. 30, 2021 USD ($) | Sep. 30, 2022 USD ($) segment | Sep. 30, 2021 USD ($)
Segment Reporting [Abstract] |  |  |  |  |
Number of operating segments | segment |  |  |  | 2 |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | $ 620.6 | $ 559.2 | $ 1,832.2 | $ 1,614.9
Adjusted EBITDA |  | 96.2 | 76.4 | 259.4 | 225.2
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Income before income taxes |  | 13.4 | 9.4 | 77.1 | 26.5
Net income attributable to non-controlling interests |  | (30.6) | (31.1) | (94.9) | (98.6)
Depreciation and amortization |  | 29.8 | 25.2 | 85.2 | 76.1
Interest expense, net |  | 60.7 | 54.2 | 173.9 | 160.9
Equity-based compensation expense |  | 5.0 | 4.1 | 13.0 | 13.4
Transaction, integration and acquisition costs |  | 13.1 | 10.2 | 28.4 | 31.0
Loss on disposals and deconsolidations, net |  | 2.2 | 1.9 | 3.2 | 2.0
Loss (gain) on litigation settlement and other litigation costs |  | 1.5 | 2.5 | (27.6) | 4.3
Loss on debt extinguishment |  | 0.0 | (0.5) | 0.0 | 9.1
Hurricane-related impacts |  | 1.1 | 0.5 | 1.1 | 0.5
Adjusted EBITDA |  | 96.2 | 76.4 | 259.4 | 225.2
Transaction and integration costs |  | 12.5 | 10.2 | 27.8 | 24.7
Start-up costs |  | 0.6 |  | 0.6 | 6.3
Other litigation costs |  | 1.5 | 2.5 | 5.2 | 4.3
Litigation settlement | $ 32.8 | 0.0 | 0.0 | 32.8 | 0.0
Operating Segments | Surgical Facility Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | 603.9 | 542.1 | 1,780.6 | 1,563.7
Adjusted EBITDA |  | 110.2 | 96.9 | 319.9 | 287.5
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Adjusted EBITDA |  | 110.2 | 96.9 | 319.9 | 287.5
Operating Segments | Ancillary Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | 16.7 | 17.1 | 51.6 | 51.2
Adjusted EBITDA |  | (1.5) | 0.0 | (2.2) | (1.0)
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Adjusted EBITDA |  | (1.5) | 0.0 | (2.2) | (1.0)
All other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Adjusted EBITDA |  | (12.5) | (20.5) | (58.3) | (61.3)
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Adjusted EBITDA |  | $ (12.5) | $ (20.5) | $ (58.3) | $ (61.3)

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