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v3.23.3

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 ($) | Sep. 30, 2023 USD ($) | Sep. 30, 2022 USD ($) | Sep. 30, 2023 USD ($) segment | Sep. 30, 2022 USD ($)
Segment Reporting [Abstract] |  |  |  |  |
Number of operating segments | segment |  |  |  | 2 |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | $ 674.1 | $ 620.6 | $ 2,007.9 | $ 1,832.2
Adjusted EBITDA |  | 105.5 | 96.2 | 295.8 | 259.4
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Income before income taxes |  | 32.8 | 13.4 | 82.3 | 77.1
Net income attributable to non-controlling interests |  | (34.6) | (30.6) | (99.5) | (94.9)
Interest expense, net |  | 49.8 | 60.7 | 144.3 | 173.9
Depreciation and amortization |  | 28.9 | 29.8 | 87.0 | 85.2
Equity-based compensation expense |  | 4.4 | 5.0 | 13.2 | 13.0
Transaction, integration and acquisition costs |  | 13.0 | 13.1 | 38.8 | 28.4
Net loss on disposals, consolidations and deconsolidations |  | 5.8 | 2.2 | 7.5 | 3.2
Litigation settlements and regulatory change impact |  | 4.2 | 1.5 | 13.9 | (27.6)
Undesignated derivative activity |  | 0.0 | 0.0 | 0.6 | 0.0
Other |  | 1.2 | 1.1 | 7.7 | 1.1
Adjusted EBITDA |  | 105.5 | 96.2 | 295.8 | 259.4
Transaction and integration costs |  | 12.8 | 12.5 | 37.3 | 27.8
Start-up costs |  | 0.2 | 0.6 | 1.5 | 0.6
Other litigation costs |  | 0.6 | 1.5 | 1.4 | 5.2
(Loss) gain on litigation settlement | $ 32.8 | (3.6) | 0.0 | (8.1) | 32.8
Additional interest expense for Florida LOP regulation change |  |  |  | 4.4 |
Operating Segments | Surgical Facility Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | 657.3 | 603.9 | 1,956.5 | 1,780.6
Adjusted EBITDA |  | 138.6 | 110.2 | 384.1 | 319.9
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Adjusted EBITDA |  | 138.6 | 110.2 | 384.1 | 319.9
Operating Segments | Ancillary Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | 16.8 | 16.7 | 51.4 | 51.6
Adjusted EBITDA |  | (1.2) | (1.5) | (2.7) | (2.2)
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Adjusted EBITDA |  | (1.2) | (1.5) | (2.7) | (2.2)
All other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Adjusted EBITDA |  | (31.9) | (12.5) | (85.6) | (58.3)
Reconciliation of Adjusted EBITDA: |  |  |  |  |
Adjusted EBITDA |  | $ (31.9) | $ (12.5) | $ (85.6) | $ (58.3)

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