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Segment Reporting - Schedule of Segment Revenue and Operating Income (Details) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Segment Reporting Information [Line Items] |  |
Revenues | $ 717.4 | $ 666.2
Adjusted EBITDA | 97.5 | 90.1
Reconciliation of Adjusted EBITDA: |  |
Income (loss) before income taxes | 28.7 | (0.4)
Net income attributable to non-controlling interests | (36.7) | (26.1)
Interest expense, net | 47.3 | 46.8
Depreciation and amortization | 33.7 | 33.7
Equity-based compensation expense | 4.9 | 4.2
Transaction, integration and acquisition costs | 18.9 | 12.8
Net loss on disposals, consolidations and deconsolidations | 1.5 | 10.5
Litigation settlements and regulatory change impact | (1.2) | 8.0
Undesignated derivative activity | 0.0 | 0.6
Other | 0.4 | 0.0
Transaction and integration costs | 17.4 | 12.5
Start-up costs | 1.5 | 0.3
(Loss) gain on litigation settlement | 1.8 | (3.0)
Other litigation costs | 0.6 | 0.6
Additional interest expense for Florida LOP regulation change |  | 4.4
Operating Segments | Surgical Facility Services |  |
Segment Reporting Information [Line Items] |  |
Revenues | 692.7 | 649.0
Adjusted EBITDA | 126.7 | 118.8
Operating Segments | Ancillary Services |  |
Segment Reporting Information [Line Items] |  |
Revenues | 24.7 | 17.2
Adjusted EBITDA | (1.4) | (1.4)
All other |  |
Segment Reporting Information [Line Items] |  |
Adjusted EBITDA | $ (27.8) | $ (27.3)

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