XML 23 R12.htm IDEA: XBRL DOCUMENT
v3.24.1.u1

Leases | 3 Months Ended
--- | ---
Mar. 31, 2024
Leases [Abstract] |
Leases | Leases The Company's operating leases are primarily for real estate, including medical office buildings, and corporate and other administrative offices. The Company's finance leases are primarily for medical equipment and information technology and telecommunications assets. The following table presents the components of the Company's right-of-use assets and liabilities related to leases and their classification in the condensed consolidated balance sheets (in millions):
|  | Classification in Condensed Consolidated Balance Sheets |  | March 31, 2024 |  | December 31, 2023
Assets: |  |  |  |  |  |
Operating lease assets |  | Right-of-use operating lease assets |  | $ | 257.7 |  |  | $ | 255.3 |
Finance lease assets |  | Property and equipment, net of accumulated depreciation |  | 591.4 |  |  | 587.0 |
Total leased assets |  |  |  | $ | 849.1 |  |  | $ | 842.3 |
Liabilities: |  |  |  |  |  |
Operating lease liabilities: |  |  |  |  |  |
Current |  | Other current liabilities |  | $ | 37.8 |  |  | $ | 37.6 |
Long-term |  | Right-of-use operating lease liabilities |  | 250.5 |  |  | 248.9 |
Total operating lease liabilities |  |  |  | 288.3 |  |  | 286.5 |
Finance lease liabilities: |  |  |  |  |  |
Current |  | Current maturities of long-term debt |  | 26.3 |  |  | 25.4 |
Long-term |  | Long-term debt, less current maturities |  | 678.3 |  |  | 668.2 |
Total finance lease liabilities |  |  |  | 704.6 |  |  | 693.6 |
Total lease liabilities |  |  |  | $ | 992.9 |  |  | $ | 980.1 |
The following table presents the components of the Company's lease expense and their classification in the condensed consolidated statements of operations (in millions):
|  | Three Months Ended March 31,
|  | 2024 |  | 2023
Operating lease costs |  | $ | 15.9 |  |  | $ | 16.4 |
Finance lease costs: |  |  |  |
Amortization of leased assets |  | 11.8 |  |  | 9.4 |
Interest on lease liabilities |  | 13.0 |  |  | 12.3 |
Total finance lease costs |  | 24.8 |  |  | 21.7 |
Variable and short-term lease costs |  | 5.8 |  |  | 5.2 |
Total lease costs |  | $ | 46.5 |  |  | $ | 43.3 |
The following table presents supplemental cash flow information (in millions):
|  | Three Months Ended March 31,
|  | 2024 |  | 2023
Cash paid for amounts included in the measurement of lease liabilities: |  |  |  |
Operating cash outflows from operating leases |  | $ | 15.6 |  |  | $ | 16.1 |
Operating cash outflows from finance leases |  | $ | 12.4 |  |  | $ | 11.7 |
Financing cash outflows from finance leases |  | $ | 7.5 |  |  | $ | 6.4 |
Right-of-use assets obtained in exchange for lease obligations: |  |  |  |
Operating leases |  | $ | 19.2 |  |  | $ | 8.9 |
Finance leases |  | $ | 12.1 |  |  | $ | 15.4 |
Leases | Leases The Company's operating leases are primarily for real estate, including medical office buildings, and corporate and other administrative offices. The Company's finance leases are primarily for medical equipment and information technology and telecommunications assets. The following table presents the components of the Company's right-of-use assets and liabilities related to leases and their classification in the condensed consolidated balance sheets (in millions):
|  | Classification in Condensed Consolidated Balance Sheets |  | March 31, 2024 |  | December 31, 2023
Assets: |  |  |  |  |  |
Operating lease assets |  | Right-of-use operating lease assets |  | $ | 257.7 |  |  | $ | 255.3 |
Finance lease assets |  | Property and equipment, net of accumulated depreciation |  | 591.4 |  |  | 587.0 |
Total leased assets |  |  |  | $ | 849.1 |  |  | $ | 842.3 |
Liabilities: |  |  |  |  |  |
Operating lease liabilities: |  |  |  |  |  |
Current |  | Other current liabilities |  | $ | 37.8 |  |  | $ | 37.6 |
Long-term |  | Right-of-use operating lease liabilities |  | 250.5 |  |  | 248.9 |
Total operating lease liabilities |  |  |  | 288.3 |  |  | 286.5 |
Finance lease liabilities: |  |  |  |  |  |
Current |  | Current maturities of long-term debt |  | 26.3 |  |  | 25.4 |
Long-term |  | Long-term debt, less current maturities |  | 678.3 |  |  | 668.2 |
Total finance lease liabilities |  |  |  | 704.6 |  |  | 693.6 |
Total lease liabilities |  |  |  | $ | 992.9 |  |  | $ | 980.1 |
The following table presents the components of the Company's lease expense and their classification in the condensed consolidated statements of operations (in millions):
|  | Three Months Ended March 31,
|  | 2024 |  | 2023
Operating lease costs |  | $ | 15.9 |  |  | $ | 16.4 |
Finance lease costs: |  |  |  |
Amortization of leased assets |  | 11.8 |  |  | 9.4 |
Interest on lease liabilities |  | 13.0 |  |  | 12.3 |
Total finance lease costs |  | 24.8 |  |  | 21.7 |
Variable and short-term lease costs |  | 5.8 |  |  | 5.2 |
Total lease costs |  | $ | 46.5 |  |  | $ | 43.3 |
The following table presents supplemental cash flow information (in millions):
|  | Three Months Ended March 31,
|  | 2024 |  | 2023
Cash paid for amounts included in the measurement of lease liabilities: |  |  |  |
Operating cash outflows from operating leases |  | $ | 15.6 |  |  | $ | 16.1 |
Operating cash outflows from finance leases |  | $ | 12.4 |  |  | $ | 11.7 |
Financing cash outflows from finance leases |  | $ | 7.5 |  |  | $ | 6.4 |
Right-of-use assets obtained in exchange for lease obligations: |  |  |  |
Operating leases |  | $ | 19.2 |  |  | $ | 8.9 |
Finance leases |  | $ | 12.1 |  |  | $ | 15.4 |

X
- References No definition available. + Details
Name: | us-gaap_LeasesAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for finance leases of lessee. Includes, but is not limited to, description of lessee's finance lease and maturity analysis of finance lease liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//842-20/tableOfContent + Details
Name: | us-gaap_LesseeFinanceLeasesTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for operating leases of lessee. Includes, but is not limited to, description of operating lease and maturity analysis of operating lease liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//842-20/tableOfContent + Details
Name: | us-gaap_LesseeOperatingLeasesTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration