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Segment Reporting - Schedule of Segment Revenue and Operating Income (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 762.1 | $ 667.6 | $ 1,479.5 | $ 1,333.8
Adjusted EBITDA | 118.3 | 100.2 | 215.8 | 190.3
Reconciliation of Adjusted EBITDA: |  |  |  |
Income before income taxes | 33.3 | 49.9 | 62.0 | 49.5
Net income attributable to non-controlling interests | (43.9) | (38.8) | (80.6) | (64.9)
Interest expense, net | 51.5 | 47.7 | 98.8 | 94.5
Depreciation and amortization | 34.8 | 24.4 | 68.5 | 58.1
Equity-based compensation expense | 15.1 | 4.6 | 20.0 | 8.8
Transaction, integration and acquisition costs | 20.8 | 13.0 | 39.7 | 25.8
Net loss (gain) on disposals, consolidations and deconsolidations | 5.3 | (8.8) | 6.8 | 1.7
Litigation settlements and regulatory change impact | 1.1 | 1.7 | (0.1) | 9.7
Loss on debt extinguishment | 5.1 | 0.0 | 5.1 | 0.0
Undesignated derivative activity | 0.0 | 0.0 | 0.0 | 0.6
Other | (4.8) | 6.5 | (4.4) | 6.5
Transaction and integration costs | 19.3 | 12.0 | 36.7 | 24.5
Start-up costs | 1.5 | 1.0 | 3.0 | 1.3
(Loss) gain on litigation settlement | (0.5) | (1.5) | 1.3 | (4.5)
Other litigation costs | 0.6 | 0.2 | 1.2 | 0.8
Additional interest expense for Florida LOP regulation change |  |  |  | 4.4
Operating Segments | Surgical Facility Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 730.4 | 650.2 | 1,423.1 | 1,299.2
Adjusted EBITDA | 143.0 | 126.7 | 269.7 | 245.5
Operating Segments | Ancillary Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 31.7 | 17.4 | 56.4 | 34.6
Adjusted EBITDA | 0.1 | (0.1) | (1.3) | (1.5)
All other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | $ (24.8) | $ (26.4) | $ (52.6) | $ (53.7)

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