v3.26.1
Segment Reporting (Tables)
 6 Months Ended
Jun. 30, 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 June 30,Six Months Ended June 30,
2026202520262025
Surgical Facilities Revenues$848.9 $826.2 $1,659.8 $1,602.2 
Less:
Salaries and benefits
253.1 235.2 500.5 473.8 
Supplies
226.8 215.0 447.0 430.8 
Professional and medical fees
102.8 102.1 204.1 197.4 
Lease expense24.2 22.9 47.2 43.7 
Other segment items (1)
86.7 93.1 170.9 166.6 
693.6 668.3 1,369.7 1,312.3 
Adjusted Surgical Facilities EBITDA$155.3 $157.9 $290.1 $289.9 
Reconciliation:
Add back: Net income attributable to non-controlling interests(44.7)(47.4)(78.5)(84.8)
Unallocated amounts:
General and administrative expenses36.3 36.1 75.6 72.1 
Transaction and integration costs18.4 18.1 34.0 42.8 
Other corporate expenses3.9 (0.9)13.3 9.6 
Depreciation and amortization39.3 40.3 77.8 76.6 
Interest expense, net69.8 67.9 138.9 130.1 
Income (loss) before income taxes
$32.3 $43.8 $29.0 $43.5 
(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 June 30,Six Months Ended June 30,
2026202520262025
Depreciation and amortization:
Surgical Facilities$36.8 $37.3 $72.7 $71.1 
All other2.5 3.0 5.1 5.5 
Total depreciation and amortization expense$39.3 $40.3 $77.8 $76.6 
Six Months Ended June 30,
20262025
Cash purchases of property and equipment:
Surgical Facilities
$33.8 $45.2 
All other4.0 0.9 
Total cash purchases of property and equipment$37.8 $46.1 
Schedule of Reconciliation of Assets from Segment to Consolidated
June 30, 2026December 31, 2025
Assets:
Surgical Facilities
$7,599.9 $7,643.9 
All other449.8 475.8 
Total assets$8,049.7 $8,119.7