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v3.24.0.1

Segment Reporting - Schedule of Segment Revenue and Operating Income (Details) $ in Millions | 1 Months Ended | 12 Months Ended
--- | --- | ---
Mar. 31, 2022 USD ($) | Dec. 31, 2023 USD ($) segment | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($)
Segment Reporting [Abstract] |  |  |  |
Number of operating segments | segment |  | 2 |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues |  | $ 2,743.3 | $ 2,539.3 | $ 2,225.1
Adjusted EBITDA |  | 438.1 | 380.2 | 339.6
Reconciliation of Adjusted EBITDA: |  |  |  |
Income (loss) before income taxes |  | 135.0 | 110.3 | 81.2
Net income attributable to non-controlling interests |  | (147.2) | (141.6) | (141.6)
Interest expense, net |  | 193.0 | 234.9 | 221.0
Depreciation and amortization |  | 118.1 | 114.8 | 98.8
Equity-based compensation expense |  | 17.7 | 18.4 | 17.4
Transaction, integration and acquisition costs |  | 64.9 | 48.6 | 46.1
Net loss on disposals, consolidations and deconsolidations |  | 14.4 | 11.1 | 2.2
Litigation settlements and regulatory change impact |  | 17.5 | (24.7) | 5.6
Loss on debt extinguishment |  | 15.5 | 14.9 | 9.1
Undesignated derivative activity |  | 0.6 | (8.0) | 0.0
Other |  | 8.6 | 1.5 | (0.2)
Transaction and integration costs |  | 61.7 | 47.5 | 39.8
Start-up costs |  | 3.2 | 1.1 | 6.3
(Loss) gain on litigation settlement | $ 32.8 | (10.6) | 29.3 | 0.0
Other litigation costs |  | 2.5 | 4.6 | 5.6
Additional interest expense for Florida LOP regulation change |  | 4.4 |  |
Derivatives not designated as hedging instruments |  |  |  |
Reconciliation of Adjusted EBITDA: |  |  |  |
(Gain) loss recognized in income |  | 7.5 |  |
Operating Segments | Surgical Facility Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues |  | 2,675.8 | 2,470.4 | 2,157.8
Adjusted EBITDA |  | 544.0 | 473.6 | 422.0
Operating Segments | Ancillary Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues |  | 67.5 | 68.9 | 67.3
Adjusted EBITDA |  | (3.9) | (2.3) | 1.7
All other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA |  | $ (102.0) | $ (91.1) | $ (84.1)

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