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Segment Reporting (Tables) | 12 Months Ended
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Dec. 31, 2024
Segment Reporting [Abstract] |
Schedule of Selected Financial Information of Reportable Segments | Selected financial information, including significant segment expenses, for our reportable segment is as follows (in millions):
| For the Year Ended December 31,
| 2024 |  | 2023 |  | 2022
Net operating revenues | $ | 5,373.2 |  |  | $ | 4,801.2 |  |  | $ | 4,348.6 |
Less: |  |  |  |  |
Salaries and benefits | 2,901.0 |  |  | 2,600.1 |  |  | 2,393.3 |
Other operating expenses | 785.2 |  |  | 709.3 |  |  | 665.6 |
Supplies | 239.0 |  |  | 218.3 |  |  | 202.1 |
Occupancy costs | 57.3 |  |  | 56.3 |  |  | 54.7 |
General and administrative expenses | 156.1 |  |  | 146.5 |  |  | 130.4 |
Net income attributable to noncontrolling interests | 148.2 |  |  | 113.2 |  |  | 93.6 |
Other segment items(1) | (17.3) |  |  | (13.6) |  |  | (10.4) |
Adjusted EBITDA | $ | 1,103.7 |  |  | $ | 971.1 |  |  | $ | 819.3 |
(1)Includes interest income, investment gain or loss, and equity in net income of nonconsolidated affiliates.
Reconciliation of Segment Adjusted EBITDA to Income from Continuing Operations Before Income Tax Expense | Segment reconciliation (in millions):
| For the Year Ended December 31,
| 2024 |  | 2023 |  | 2022
Adjusted EBITDA | $ | 1,103.7 |  |  | $ | 971.1 |  |  | $ | 819.3 |
Stock-based compensation | (48.3) |  |  | (50.6) |  |  | (29.2) |
Depreciation and amortization | (299.6) |  |  | (273.9) |  |  | (243.6) |
Loss on disposal or impairment of assets | (17.4) |  |  | (9.8) |  |  | (4.8) |
Loss on early extinguishment of debt | (0.6) |  |  | — |  |  | (1.4) |
Interest expense and amortization of debt discounts and fees | (137.4) |  |  | (143.5) |  |  | (175.7) |
Net income attributable to noncontrolling interests | 140.9 |  |  | 111.0 |  |  | 93.6 |
Change in fair market value of equity securities | 1.0 |  |  | 0.7 |  |  | (7.4) |
Asset impairment impact on noncontrolling interests | 7.3 |  |  | — |  |  | — |
State regulatory change impact on noncontrolling interests | — |  |  | 2.2 |  |  | — |
Income from continuing operations before income tax expense | $ | 749.6 |  |  | $ | 607.2 |  |  | $ | 450.8 |
Reconciliation of Revenue from Segments to Consolidated | Additional detail regarding the revenues of our operating segment by service line follows (in millions):
| For the Year Ended December 31,
| 2024 |  | 2023 |  | 2022
Net operating revenues: |  |  |  |  |
Inpatient | $ | 5,230.5 |  |  | $ | 4,693.8 |  |  | $ | 4,251.6 |
Outpatient and other | 142.7 |  |  | 107.4 |  |  | 97.0 |
Net operating revenues | $ | 5,373.2 |  |  | $ | 4,801.2 |  |  | $ | 4,348.6 |

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- Definition Tabular disclosure of reconciliation of other items from reportable segments to their consolidated amount. Excludes reconciliation of revenue, profit (loss), and assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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