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v3.24.3

Segment Reporting - Schedule of Segment Revenue and Operating Income (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 770.4 | $ 674.1 | $ 2,249.9 | $ 2,007.9
Adjusted EBITDA | 128.6 | 105.5 | 344.4 | 295.8
Reconciliation of Adjusted EBITDA: |  |  |  |
Income before income taxes | 10.9 | 32.8 | 72.9 | 82.3
Net income attributable to non-controlling interests | (38.1) | (34.6) | (118.7) | (99.5)
Interest expense, net | 50.0 | 49.8 | 148.8 | 144.3
Depreciation and amortization | 50.2 | 28.9 | 118.7 | 87.0
Equity-based compensation expense | 7.1 | 4.4 | 27.1 | 13.2
Transaction, integration and acquisition costs | 31.5 | 13.0 | 71.2 | 38.8
Net loss on disposals, consolidations and deconsolidations | 14.7 | 5.8 | 21.5 | 7.5
Litigation settlements and regulatory change impact | 1.6 | 4.2 | 1.5 | 13.9
Loss on debt extinguishment | 0.0 | 0.0 | 5.1 | 0.0
Undesignated derivative activity | 0.0 | 0.0 | 0.0 | 0.6
Other | 0.7 | 1.2 | (3.7) | 7.7
Transaction and integration costs | 29.4 | 12.8 | 66.1 | 37.3
Start-up costs | 2.1 | 0.2 | 5.1 | 1.5
(Loss) gain on litigation settlement | (0.5) | (3.6) | 0.8 | (8.1)
Other litigation costs | 1.1 | 0.6 | 2.3 | 1.4
Additional interest expense for Florida LOP regulation change |  |  |  | 4.4
Operating Segments | Surgical Facility Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 735.4 | 657.3 | 2,158.5 | 1,956.5
Adjusted EBITDA | 149.6 | 138.6 | 419.3 | 384.1
Operating Segments | Ancillary Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 35.0 | 16.8 | 91.4 | 51.4
Adjusted EBITDA | 0.7 | (1.2) | (0.6) | (2.7)
All other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | $ (21.7) | $ (31.9) | $ (74.3) | $ (85.6)

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