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Segment Reporting (Tables)

3 Months Ended

Mar. 31, 2025

Segment Reporting [Abstract]

Schedule of Segment Revenue and Operating Income

The following segment information, including significant segment expenses, is presented in millions:

						Three Months Ended March 31,
						2025						2024
Surgical Facilities Revenues						$	776.0					$	717.4
Less:
Salaries and benefits						238.6						215.2
Supplies						215.8						188.8
Professional and medical fees						95.3						82.6
Lease expense						20.8						21.4
Equity in earnings of unconsolidated affiliates						(5.6)						(2.7)
Net income attributable to non-controlling interests						37.4						36.7
Other segment expense, net						41.7						50.1
						644.0						592.1
Adjusted Surgical Facilities EBITDA						$	132.0					$	125.3
Reconciliation:
Add back: Net income attributable to non-controlling interests						(37.4)						(36.7)
Corporate and other unallocated expenses (1)						71.2						52.3
Depreciation and amortization						36.3						33.7
Interest expense, net						62.2						47.3
(Loss) income before income taxes						$	(0.3)					$	28.7

(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 Financial Information by Reportable Segment

						Three Months Ended March 31,
						2025						2024
Depreciation and amortization:
Surgical Facilities						$	33.8					$	31.5
All other						2.5						2.2
Total depreciation and amortization expense						$	36.3					$	33.7

						Three Months Ended March 31,
						2025						2024
Cash purchases of property and equipment:
Surgical Facilities						$	21.8					$	16.3
All other						0.9						4.7
Total cash purchases of property and equipment						$	22.7					$	21.0

Schedule of Reconciliation of Assets from Segment to Consolidated

						March 31, 2025						December 31, 2024
Assets:
Surgical Facilities						$	7,532.3					$	7,466.3
All other						416.9						423.7
Total assets						$	7,949.2					$	7,890.0

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

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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

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