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Segment Reporting (Tables)

12 Months Ended

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

X

- Definition

Tabular disclosure of all significant reconciling items in the reconciliation of total assets from reportable segments to the entity's consolidated assets.

+ References

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-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

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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
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-Publisher FASB
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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
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