v3.25.2
Segment Reporting (Tables)
 6 Months Ended
Jun. 30, 2025
Segment Reporting [Abstract]  
Schedule of Selected Financial Information of Reportable Segments
Selected financial information, including significant segment expenses, for our reportable segment is as follows (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
Net operating revenues$1,457.7 $1,301.2 $2,913.1 $2,617.2 
Less:
Salaries and benefits767.7 700.5 1,530.0 1,412.1 
Other operating expenses213.5 192.9 430.8 383.1 
Occupancy costs14.7 14.2 29.6 28.2 
Supplies63.1 57.6 125.3 116.1 
General and administrative expenses41.7 36.3 85.0 75.2 
Net income attributable to noncontrolling interests42.8 32.4 87.8 66.0 
Other segment items(1)
(4.4)(4.5)(7.6)(8.3)
Adjusted EBITDA$318.6 $271.8 $632.2 $544.8 
(1)Includes interest and dividend income, investment gain or loss, and equity in net income of nonconsolidated affiliates.
Reconciliation of Segment Adjusted EBITDA to Income from Continuing Operations Before Income Tax Expense
Segment reconciliation (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
Adjusted EBITDA$318.6 $271.8 $632.2 $544.8 
Stock-based compensation(14.3)(13.6)(23.8)(22.9)
Depreciation and amortization(79.9)(72.9)(159.1)(143.2)
(Loss) gain on disposal or impairment of assets(0.3)3.0 (0.5)(10.7)
Interest expense and amortization of debt discounts and fees(30.4)(34.3)(62.2)(69.5)
Net income attributable to noncontrolling interests42.8 32.4 87.8 58.7 
Change in fair market value of equity securities0.3 (0.4)1.0 (0.1)
Asset impairment impact on noncontrolling interests— — — 7.3 
Income from continuing operations before income tax expense$236.8 $186.0 $475.4 $364.4 
Reconciliation of Revenue from Segments to Consolidated
Additional detail regarding the revenues of our operating segment by service line follows (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
Net operating revenues:
Inpatient$1,413.7 $1,265.5 $2,831.4 $2,548.2 
Outpatient and other44.0 35.7 81.7 69.0 
Net operating revenues$1,457.7 $1,301.2 $2,913.1 $2,617.2