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Long-term Debt (Tables)

12 Months Ended

Dec. 31, 2018

Debt Disclosure [Abstract]

Schedule of Outstanding Long-term Debt

Our notes payable consist of the following (in millions):

	As of December 31,
	2018				2017				Interest Rates
Sale/leaseback transactions involving real estate accounted for as financings	$	82.8			$	77.7			7.5% to 11.2%
Construction of a new hospital	14.6				4.4				LIBOR + 2.5%; 4.8% to 5.0% and 3.9% as of December 31, 2018 and 2017, respectively
Other	6.8				0.2				4.3% to 6.8%
Other notes payable	$	104.2			$	82.3

Our long-term debt outstanding consists of the following (in millions):

	As of December 31,
	2018				2017
Credit Agreement—
Advances under revolving credit facility	$	30.0			$	95.0
Term loan facilities	280.1				294.7
Bonds payable—
5.125% Senior Notes due 2023	296.6				295.9
5.75% Senior Notes due 2024	1,194.7				1,193.9
5.75% Senior Notes due 2025	345.0				344.4
Other notes payable	104.2				82.3
Capital lease obligations	263.8				271.5
	2,514.4				2,577.7
Less: Current portion	(35.8		)		(32.3		)
Long-term debt, net of current portion	$	2,478.6			$	2,545.4

Schedule of Debt Maturities

The following chart shows scheduled principal payments due on long-term debt for the next five years and thereafter (in millions):

Year Ending December 31,		Face Amount				Net Amount
2019		$	36.5			$	36.5
2020		33.0				33.0
2021		28.4				28.4
2022		291.9				290.7
2023		313.4				310.1
Thereafter		1,826.2				1,815.7
Total		$	2,529.4			$	2,514.4

Schedule of Redemption Prices for Senior Notes

We may redeem the 2025 Notes, in whole or in part, at any time on or after September 15, 2020, at the redemption prices set forth below:

Period		Redemption Price*
2020		102.875	%
2021		101.917	%
2022		100.958	%
2023 and thereafter		100.000	%

* Expressed in percentage of principal amount

We may redeem the 2024 Notes, in whole or in part, at any time on or after November 1, 2017, at the redemption prices set forth below:

Period		Redemption Price*
2018		101.917	%
2019		100.958	%
2020 and thereafter		100.000	%

* Expressed in percentage of principal amount

We may redeem the 2023 Notes, in whole or in part, at any time on or after March 15, 2018 at the redemption prices set forth below:

Period		Redemption Price*
2018		103.844	%
2019		102.563	%
2020		101.281	%
2021 and thereafter		100.000	%

* Expressed in percentage of principal amount

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