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Segment Reporting (Tables)

12 Months Ended

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

X

- Definition

Tabular disclosure of reconciliation of other items from reportable segments to their consolidated amount. Excludes reconciliation of revenue, profit (loss), and assets.

+ References

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-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
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-Publisher FASB
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Tabular disclosure of all significant reconciling items in the reconciliation of total revenues from reportable segments to the entity's consolidated revenues.

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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.

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