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Segment Reporting (Tables)

9 Months Ended

Sep. 30, 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 September 30,												Nine Months Ended September 30,
						2025						2024						2025						2024
Surgical Facilities Revenues						$	821.5					$	770.4					$	2,423.7					$	2,249.9
Less:
Salaries and benefits						242.8						228.4						716.6						666.8
Supplies						208.9						201.4						639.7						589.9
Professional and medical fees						104.0						91.0						301.4						266.0
Lease expense						21.5						23.9						65.2						67.5
Other segment items (1)						88.4						77.2						255.0						242.8
						665.6						621.9						1,977.9						1,833.0
Adjusted Surgical Facilities EBITDA						$	155.9					$	148.5					$	445.8					$	416.9
Reconciliation:
Add back: Net income attributable to non-controlling interests						(48.0)						(38.1)						(132.8)						(118.7)
Unallocated amounts:
General and administrative expenses						22.4						29.2						94.5						102.7
Transaction and integration costs						12.6						29.4						55.4						66.1
Other corporate expenses						23.7						16.9						33.3						26.4
Depreciation and amortization						39.5						50.2						116.1						118.7
Interest expense, net						74.9						50.0						205.0						148.8
Income before income taxes						$	30.8					$	10.9					$	74.3					$	72.9

(1)Other segment items includes equity in earnings of unconsolidated affiliates, net income attributable to non-controlling interests and other expenses, net.

Schedule of Financial Information by Reportable Segment

						Three Months Ended September 30,												Nine Months Ended September 30,
						2025						2024						2025						2024
Depreciation and amortization:
Surgical Facilities						$	36.7					$	44.2					$	107.8					$	108.2
All other						2.8						6.0						8.3						10.5
Total depreciation and amortization expense						$	39.5					$	50.2					$	116.1					$	118.7

						Nine Months Ended September 30,
						2025						2024
Cash purchases of property and equipment:
Surgical Facilities						$	65.0					$	64.4
All other						0.9						3.7
Total cash purchases of property and equipment						$	65.9					$	68.1

Schedule of Reconciliation of Assets from Segment to Consolidated

						September 30, 2025						December 31, 2024
Assets:
Surgical Facilities						$	7,504.3					$	7,466.3
All other						442.3						423.7
Total assets						$	7,946.6					$	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
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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.

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