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v3.22.4

Segment Reporting - Revenues and Operating Income by Reportable Segment (Details) - USD ($) $ in Millions | 1 Months Ended | 12 Months Ended
--- | --- | ---
Mar. 31, 2022 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Segment Reporting Information [Line Items] |  |  |  |
Revenues |  | $ 2,539.3 | $ 2,225.1 | $ 1,860.1
Adjusted EBITDA |  | 380.2 | 339.6 | 256.6
Reconciliation of Adjusted EBITDA: |  |  |  |
Income (loss) before income taxes |  | 110.3 | 81.2 | (18.8)
Less: Net income attributable to non-controlling interests |  | (141.6) | (141.6) | (117.4)
Interest expense, net |  | 234.9 | 221.0 | 201.8
Depreciation and amortization |  | 114.8 | 98.8 | 94.8
Equity-based compensation expense |  | 18.4 | 17.4 | 13.2
Transaction, integration and acquisition costs |  | 48.6 | 46.1 | 38.2
Loss on disposals and deconsolidations, net |  | 11.1 | 2.2 | 5.7
Litigation settlements and other litigation costs |  | (24.7) | 5.6 | 6.4
Loss on debt extinguishment |  | 14.9 | 9.1 | 0.0
Undesignated derivative activity |  | (8.0) | 0.0 | 0.0
Hurricane-related impacts |  | 1.5 | (0.2) | 0.0
Impairment charges |  | 0.0 | 0.0 | 33.5
Gain on escrow release |  | 0.0 | 0.0 | (0.8)
Transaction and integration costs |  | 47.5 | 39.8 | 23.2
Acquisition costs |  | 1.1 | 6.3 | 15.0
Gain (loss) on litigation settlement | $ 32.8 | 29.3 | 0.0 | (1.2)
Other litigation costs |  | 4.6 | 5.6 | 5.2
All other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA |  | (91.1) | (84.1) | (80.7)
Surgical Facility Services | Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues |  | 2,470.4 | 2,157.8 | 1,793.4
Adjusted EBITDA |  | 473.6 | 422.0 | 339.3
Ancillary Services | Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues |  | 68.9 | 67.3 | 63.6
Adjusted EBITDA |  | (2.3) | 1.7 | (3.4)
Optical Services | Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues |  | 0.0 | 0.0 | 3.1
Adjusted EBITDA |  | $ 0.0 | $ 0.0 | $ 1.4

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