v3.26.1
Segment Reporting - Schedule of Segment Revenue and Operating Income (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting [Line Items]        
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 expense 24.2 22.9 47.2 43.7
Total operating expenses 746.8 714.5 1,491.9 1,428.6
Reconciliation:        
Add back: Net income attributable to non-controlling interests (44.7) (47.4) (78.5) (84.8)
Unallocated amounts:        
General and administrative expenses 36.3 36.1 75.6 72.1
Transaction and integration costs 18.4 18.1 34.0 42.8
Depreciation and amortization 39.3 40.3 77.8 76.6
Interest expense, net (69.8) (67.9) (138.9) (130.1)
Income (loss) before income taxes 32.3 43.8 29.0 43.5
Surgical Facilities        
Segment Reporting [Line Items]        
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 expense 24.2 22.9 47.2 43.7
Other segment items 86.7 93.1 170.9 166.6
Total operating expenses 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 expenses 36.3 36.1 75.6 72.1
Transaction and integration costs 18.4 18.1 34.0 42.8
Other corporate expenses 3.9 (0.9) 13.3 9.6
Depreciation and amortization 39.3 40.3 77.8 76.6
Interest expense, net 69.8 67.9 138.9 130.1
Income (loss) before income taxes $ 32.3 $ 43.8 $ 29.0 $ 43.5