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Long-term Debt (Tables)

12 Months Ended

Dec. 31, 2024

Debt Disclosure [Abstract]

Schedule of Outstanding Long-term Debt

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

			As of December 31,
			2024						2023
Credit Agreement—
Advances under revolving credit facility			$	20.0					$	—
Bonds payable—
5.75% Senior Notes due 2025			99.8						348.5
4.50% Senior Notes due 2028			788.4						785.0
4.75% Senior Notes due 2030			784.2						781.5
4.625% Senior Notes due 2031			392.5						391.5
Other notes payable			94.5						66.0
Finance lease obligations			318.4						340.1
			2,497.8						2,712.6
Less: Current portion			(138.6)						(24.8)
Long-term debt, net of current portion			$	2,359.2					$	2,687.8

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

			As of December 31,
			2024						2023						Current Interest Rates
Sale/leaseback transactions involving real estate accounted for as financings			$	28.0					$	28.0					9.2% to 13.4%
Construction of new hospitals			47.6						38.0						5.0% to 6.3%
Software contracts			18.9						—						5.5% to 6.5%
Other notes payable			$	94.5					$	66.0

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
2025						$	138.8					$	138.6
2026						39.4						39.4
2027						66.1						66.1
2028						833.0						821.4
2029						41.7						41.7
Thereafter						1,414.1						1,390.6
Total						$	2,533.1					$	2,497.8

Schedule of Redemption Prices for Senior Notes

We may redeem the 2028 Notes, in whole or in part, at any time on or after February 1, 2024 at the redemption prices set forth below:

Period						Redemption Price*
2024						101.125		%
2025 and thereafter						100.000		%

* Expressed in percentage of principal amount

We may redeem the 2030 Notes, in whole or in part, at any time on or after February 1, 2025 at the redemption prices set forth below:

Period						Redemption Price*
2025						102.375		%
2026						101.583		%
2027						100.792		%
2028 and thereafter						100.000		%

* Expressed in percentage of principal amount

We may redeem the 2031 Notes, in whole or in part, at any time on or after April 1, 2026 at the redemption prices set forth below:

Period						Redemption Price*
2026						102.313		%
2027						101.542		%
2028						100.771		%
2029 and thereafter						100.000		%

* Expressed in percentage of principal amount

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