v3.26.1
Segment Reporting (Tables)
 3 Months Ended
Mar. 31, 2026
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,
20262025
Surgical Facilities Revenues$810.9 $776.0 
Less:
Salaries and benefits
247.4 238.6 
Supplies
220.2 215.8 
Professional and medical fees
101.3 95.3 
Lease expense23.0 20.8 
Other segment items (1)
84.2 73.5 
676.1 644.0 
Adjusted Surgical Facilities EBITDA$134.8 $132.0 
Reconciliation:
Add back: Net income attributable to non-controlling interests(33.8)(37.4)
Unallocated amounts:
General and administrative expenses39.3 36.0 
Transaction and integration costs15.6 24.7 
Other corporate expenses9.4 10.5 
Depreciation and amortization38.5 36.3 
Interest expense, net69.1 62.2 
Income (loss) before income taxes
$(3.3)$(0.3)
(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 March 31,
20262025
Depreciation and amortization:
Surgical Facilities$35.9 $33.8 
All other2.6 2.5 
Total depreciation and amortization expense$38.5 $36.3 
Three Months Ended March 31,
20262025
Cash purchases of property and equipment:
Surgical Facilities
$16.0 $21.8 
All other— 0.9 
Total cash purchases of property and equipment$16.0 $22.7 
Schedule of Reconciliation of Assets from Segment to Consolidated
March 31, 2026December 31, 2025
Assets:
Surgical Facilities
$7,608.0 $7,643.9 
All other434.1 475.8 
Total assets$8,042.1 $8,119.7