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Segment Reporting (Tables) | 12 Months Ended
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Dec. 31, 2024
Segment Reporting [Abstract] |
Schedule of Segment Revenue and Operating Income | The following segment information, including significant segment expenses, is presented in millions:
|  | Year Ended December 31,
|  | 2024 |  | 2023 |  | 2022
Surgical Facilities Revenues |  | $ | 3,114.3 |  |  | $ | 2,743.3 |  |  | $ | 2,539.3 |
Less: |  |  |  |  |  |
Salaries and benefits |  | 907.5 |  |  | 793.8 |  |  | 746.4 |
Supplies |  | 812.9 |  |  | 745.0 |  |  | 709.7 |
Professional and medical fees |  | 357.1 |  |  | 296.8 |  |  | 269.2 |
Lease expense |  | 89.5 |  |  | 84.9 |  |  | 82.4 |
Equity in earnings of unconsolidated affiliates |  | (19.5) |  |  | (14.2) |  |  | (12.5) |
Net income attributable to non-controlling interests |  | 180.6 |  |  | 147.2 |  |  | 141.6 |
Other segment expense, net |  | 176.2 |  |  | 155.5 |  |  | 140.6 |
|  | 2,504.3 |  |  | 2,209.0 |  |  | 2,077.4 |
Adjusted Surgical Facilities EBITDA |  | $ | 610.0 |  |  | $ | 534.3 |  |  | $ | 461.9 |
Reconciliation: |  |  |  |  |  |
Add back: Net income attributable to non-controlling interests |  | (180.6) |  |  | (147.2) |  |  | (141.6) |
Corporate and other unallocated expenses (1) |  | 289.2 |  |  | 235.4 |  |  | 143.5 |
Depreciation and amortization |  | 152.6 |  |  | 118.1 |  |  | 114.8 |
Interest expense, net |  | 201.7 |  |  | 193.0 |  |  | 234.9 |
Income before income taxes |  | $ | 147.1 |  |  | $ | 135.0 |  |  | $ | 110.3 |
(1)Corporate and other unallocated expenses represent corporate overhead expenses that have not been allocated to any segment for reporting purposes including general and administrative expenses, transaction and integration costs, net loss on disposals, consolidations and deconsolidations, litigation settlements, and loss on debt extinguishment.
Schedule of Reconciliation of Assets from Segment to Consolidated |
|  | December 31, 2024 |  | December 31, 2023
Assets: |  |  |  |
Surgical Facilities |  | $ | 7,466.3 |  |  | $ | 6,383.7 |
All other |  | 423.7 |  |  | 493.0 |
Total assets |  | $ | 7,890.0 |  |  | $ | 6,876.7 |
Schedule of Financial Information by Reportable Segment |
|  | Year Ended December 31,
|  | 2024 |  | 2023 |  | 2022
Depreciation and amortization: |  |  |  |  |  |
Surgical Facilities |  | $ | 138.9 |  |  | $ | 110.8 |  |  | $ | 105.4 |
All other |  | 13.7 |  |  | 7.3 |  |  | 9.4 |
Total depreciation and amortization expense |  | $ | 152.6 |  |  | $ | 118.1 |  |  | $ | 114.8 |
|  | Year Ended December 31,
|  | 2024 |  | 2023 |  | 2022
Cash purchases of property and equipment: |  |  |  |  |  |
Surgical Facilities |  | $ | 86.6 |  |  | $ | 88.7 |  |  | $ | 75.4 |
All other |  | 3.8 |  |  | 0.1 |  |  | 5.2 |
Total cash purchases of property and equipment |  | $ | 90.4 |  |  | $ | 88.8 |  |  | $ | 80.6 |

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- Definition Tabular disclosure of all significant reconciling items in the reconciliation of total assets from reportable segments to the entity's consolidated 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 (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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- Definition Tabular disclosure of the reconciliation of profit (loss) from reportable segments to the consolidated income (loss) before income tax expense (benefit) and discontinued operations. Includes, but is not limited to, reconciliation after income tax if income tax is allocated to the reportable segment. + 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 (b) -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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