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Encompass Health Corp

For the period ended Mar 31, 2025. Filed May 1, 2025.

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About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Mar 31, 2025 · Filed May 1, 2025

EHC$142.51+1.0%Stored close · as of Nov 10, 2026

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Item 1. Financial Statements (Unaudited)

Condensed Consolidated Statements of Comprehensive Income

Three Months Ended March 31,
20252024
(In Millions, Except Per Share Data)
Net operating revenues$1,455.4$1,316.0
Operating expenses:
Salaries and benefits762.3711.6
Other operating expenses217.5203.9
Occupancy costs14.914.0
Supplies62.258.5
General and administrative expenses52.350.2
Depreciation and amortization79.270.3
Total operating expenses1,188.41,108.5
Interest expense and amortization of debt discounts and fees31.835.2
Other income(2.5)(5.4)
Equity in net income of nonconsolidated affiliates(0.9)(0.7)
Income from continuing operations before income tax expense238.6178.4
Provision for income tax expense41.638.3
Income from continuing operations197.0140.1
Loss from discontinued operations, net of tax(0.5)(1.3)
Net and comprehensive income196.5138.8
Less: Net and comprehensive income attributable to noncontrolling interests(45.0)(26.3)
Net and comprehensive income attributable to Encompass Health$151.5$112.5
Weighted average common shares outstanding:
Basic100.599.8
Diluted102.1102.2
Earnings per common share:
Basic earnings per share attributable to Encompass Health common shareholders:
Continuing operations$1.50$1.13
Discontinued operations—(0.01)
Net income$1.50$1.12
Diluted earnings per share attributable to Encompass Health common shareholders:
Continuing operations$1.48$1.11
Discontinued operations—(0.01)
Net income$1.48$1.10
Amounts attributable to Encompass Health common shareholders:
Income from continuing operations$152.0$113.8
Loss from discontinued operations, net of tax(0.5)(1.3)
Net income attributable to Encompass Health$151.5$112.5

Condensed Consolidated Balance Sheets

March 31,2025December 31,2024
(In Millions)
Assets
Current assets:
Cash and cash equivalents$95.8$85.4
Restricted cash27.037.7
Accounts receivable623.4598.8
Other current assets164.7165.0
Total current assets910.9886.9
Property and equipment, net3,723.73,643.1
Operating lease right-of-use assets218.7203.7
Goodwill1,284.01,284.0
Intangible assets, net294.5297.8
Other long-term assets209.5219.2
Total assets(1)$6,641.3$6,534.7
Liabilities and Shareholders’ Equity
Current liabilities:
Current portion of long-term debt$138.7$138.6
Current operating lease liabilities26.726.3
Accounts payable159.1171.0
Accrued expenses and other current liabilities531.5505.1
Total current liabilities856.0841.0
Long-term debt, net of current portion2,333.22,359.2
Long-term operating lease liabilities204.2189.7
Deferred income tax liabilities114.0105.2
Other long-term liabilities196.3190.4
Total liabilities(1)3,703.73,685.5
Commitments and contingencies
Redeemable noncontrolling interests56.156.5
Shareholders’ equity:
Encompass Health shareholders’ equity2,159.12,067.0
Noncontrolling interests722.4725.7
Total shareholders’ equity2,881.52,792.7
Total liabilities(1) and shareholders’ equity$6,641.3$6,534.7

(1)Our consolidated assets as of March 31, 2025 and December 31, 2024 include total assets of variable interest entities of $208.2 million and $208.1 million, respectively, which cannot be used by us to settle the obligations of other entities. Our consolidated liabilities as of March 31, 2025 and December 31, 2024 include total liabilities of the variable interest entities of $44.2 million and $45.0 million, respectively. See Note 2, Variable Interest Entities.

Condensed Consolidated Statements of Shareholders’ Equity

Three Months Ended March 31, 2025
(In Millions)
Encompass Health Common Shareholders
Number of Common Shares OutstandingCommon StockCapital in Excess of Par ValueAccumulated IncomeTreasury StockNoncontrolling InterestsTotal
Balance at beginning of period100.8$1.2$1,847.0$796.7$(577.9)$725.7$2,792.7
Net income———151.5—42.6194.1
Issuance of restricted stock0.7—(27.7)—27.7——
Receipt of treasury stock(0.2)———(19.8)—(19.8)
Dividends declared ($0.17 per share)———(17.4)——(17.4)
Stock-based compensation——9.5———9.5
Distributions declared—————(45.9)(45.9)
Repurchases of common stock in open market(0.3)———(32.1)—(32.1)
Other(0.1)—0.7—(0.3)—0.4
Balance at end of period100.9$1.2$1,829.5$930.8$(602.4)$722.4$2,881.5
Three Months Ended March 31, 2024
(In Millions)
Encompass Health Common Shareholders
Number of Common Shares OutstandingCommon StockCapital in Excess of Par ValueAccumulated IncomeTreasury StockNoncontrolling InterestsTotal
Balance at beginning of period100.3$1.2$1,787.0$406.5$(547.2)$607.7$2,255.2
Net income———112.5—24.8137.3
Receipt of treasury stock(0.2)———(12.1)—(12.1)
Dividends declared ($0.15 per share)——0.1(15.4)——(15.3)
Stock-based compensation——9.3———9.3
Distributions declared—————(30.5)(30.5)
Capital contributions from consolidated affiliates—————18.418.4
Other0.6—0.80.1(0.9)——
Balance at end of period100.7$1.2$1,797.2$503.7$(560.2)$620.4$2,362.3

Condensed Consolidated Statements of Cash Flows

Three Months Ended March 31,
20252024
(In Millions)
Cash flows from operating activities:
Net income$196.5$138.8
Loss from discontinued operations, net of tax0.51.3
Adjustments to reconcile net income to net cash provided by operating activities—
Depreciation and amortization79.270.3
Stock-based compensation9.59.3
Deferred tax expense8.86.5
Other, net2.314.9
Change in assets and liabilities, net of acquisitions—
Accounts receivable(24.7)(7.7)
Other assets0.7(16.0)
Accounts payable(2.1)(3.8)
Other liabilities18.625.9
Net cash used in operating activities of discontinued operations(0.7)(0.7)
Total adjustments91.698.7
Net cash provided by operating activities288.6238.8
Cash flows from investing activities:
Purchases of property, equipment, and intangible assets(163.1)(139.4)
Proceeds from sale of restricted investments11.016.0
Other, net(6.4)(6.3)
Net cash used in investing activities(158.5)(129.7)
Cash flows from financing activities:
Borrowings on revolving credit facility60.050.0
Payments on revolving credit facility(80.0)(50.0)
Taxes paid on behalf of employees for shares withheld(19.8)(12.1)
Contributions from noncontrolling interests of consolidated affiliates—18.4
Dividends paid on common stock(18.0)(15.9)
Distributions paid to noncontrolling interests of consolidated affiliates(32.9)(24.7)
Repurchases of common stock, including fees and expenses(32.1)—
Other, net(7.6)(6.3)
Net cash used in financing activities(130.4)(40.6)
(Decrease) increase in cash, cash equivalents, and restricted cash(0.3)68.5
Cash, cash equivalents, and restricted cash at beginning of period123.1104.2
Cash, cash equivalents, and restricted cash at end of period$122.8$172.7

Condensed Consolidated Statements of Cash Flows (Continued)

Three Months Ended March 31,
20252024
(In Millions)
Reconciliation of Cash, Cash Equivalents, and Restricted Cash
Cash and cash equivalents at beginning of period$85.4$69.1
Restricted cash at beginning of period37.735.1
Cash, cash equivalents, and restricted cash at beginning of period$123.1$104.2
Cash and cash equivalents at end of period$95.8$134.4
Restricted cash at end of period27.038.3
Cash, cash equivalents, and restricted cash at end of period$122.8$172.7
Supplemental schedule of noncash operating, investing, and financing activities:
Operating lease adjustments22.30.9
  1. Basis of Presentation

Encompass Health Corporation (the “Company” or “Encompass Health”), incorporated in Delaware in 1984, including its subsidiaries, is a provider of inpatient rehabilitation services. Our national network of inpatient rehabilitation hospitals stretches across 38 states and Puerto Rico, with concentrations of hospitals in Florida and Texas. As of March 31, 2025, we operated 167 inpatient rehabilitation hospitals. We are the sole owner of 101 of these hospitals. We retain 50.0% to 97.5% ownership in the remaining 66 jointly owned hospitals.

The accompanying unaudited condensed consolidated financial statements of Encompass Health Corporation and Subsidiaries should be read in conjunction with the consolidated financial statements and accompanying notes contained in Encompass Health’s Annual Report on Form 10-K filed with the United States Securities and Exchange Commission on February 28, 2025 (the “2024 Form 10‑K”). The unaudited condensed consolidated financial statements have been prepared in accordance with the rules and regulations of the SEC applicable to interim financial information. Certain information and note disclosures included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America have been omitted in these interim statements, as allowed by such SEC rules and regulations. The condensed consolidated balance sheet as of December 31, 2024 has been derived from audited financial statements, but it does not include all disclosures required by GAAP. However, we believe the disclosures are adequate to make the information presented not misleading. Certain prior year amounts may have been reclassified for comparative purposes to conform to the current-year financial statement presentation.

The unaudited results of operations for the interim periods shown in these financial statements are not necessarily indicative of operating results for the entire year. In our opinion, the accompanying condensed consolidated financial statements recognize all adjustments of a normal recurring nature considered necessary to fairly state the financial position, results of operations, and cash flows for each interim period presented.

Net Operating Revenues—

Our Net operating revenues disaggregated by payor source are as follows (in millions):

Three Months Ended March 31,
20252024
Medicare$975.5$854.1
Medicare Advantage239.6223.8
Managed care145.7142.8
Medicaid42.044.8
Other third-party payors8.39.5
Workers’ compensation6.07.0
Patients3.13.9
Other income35.230.1
Total$1,455.4$1,316.0

See Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements accompanying the 2024 Form 10-K for our policy related to Net operating revenues.

Recently Adopted Accounting Pronouncements—

In November 2023, the FASB issued ASU 2023-07, “Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures,” which requires all public entities, including entities with a single reportable segment, to provide disclosure of (1) significant segment expenses that are regularly provided to the chief operating decision maker (“CODM”) and included within each reported measure of segment profit or loss, (2) the amount and description of the composition of other segment items which reconcile to segment profit or loss, and (3) the title and position of the entity’s CODM and an explanation of how the CODM uses the reported measure(s) of segment profit or loss in assessing segment performance and allocating resources. ASU 2023-07 was effective for us beginning January 1, 2024. The disclosures required are presented in Note 10, Segment Reporting.

Recent Accounting Pronouncements Not Yet Adopted—

In December 2023, the FASB issued ASU 2023-09, “Income Taxes (Topic 740): Improvements to Income Tax Disclosures,” which intends to improve the transparency of income tax disclosures by requiring companies to (1) disclose consistent categories and greater disaggregation of information in the effective rate reconciliation and (2) provide information on income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for our annual periods beginning January 1, 2025, with early adoption permitted. We are required to apply the guidance prospectively but have the option to apply it retrospectively. We are currently evaluating the requirements of this standard and any potential impact it may have on our condensed consolidated financial statements.

In November 2024, the FASB issued ASU 2024-03, “Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses,” which requires disaggregation of certain expense captions into specified categories within the notes to the financial statements for both interim and annual reporting periods. ASU 2024-03 is effective for our annual periods beginning January 1, 2027 and interim periods beginning January 1, 2028. Early adoption is permitted. We are currently evaluating the requirements of this standard and any potential impact it may have on our condensed consolidated financial statements.

We do not believe any other recently issued, but not yet effective, accounting standards will have a material effect on our condensed consolidated financial position, results of operations, or cash flows.

  1. Variable Interest Entities

As of March 31, 2025 and December 31, 2024, we consolidated eight limited partnership-like entities that are variable interest entities (“VIEs”) and of which we are the primary beneficiary. Our ownership percentages in these entities range from 50.0% to 75.0% as of March 31, 2025. Through partnership and management agreements with or governing each of these entities, we manage all of these entities and handle all day-to-day operating decisions. Accordingly, we have the decision-making power over the activities that most significantly impact the economic performance of our VIEs and an obligation to absorb losses or receive benefits from the VIE that could potentially be significant to the VIE. These decisions and significant activities include, but are not limited to, marketing efforts, oversight of patient admissions, medical training, nurse and therapist scheduling, provision of healthcare services, billing, collections, and creation and maintenance of medical records. The terms of the agreements governing each of our VIEs prohibit us from using the assets of each VIE to satisfy the obligations of other entities.

The carrying amounts and classifications of the consolidated VIEs’ assets and liabilities, which are included in our condensed consolidated balance sheets, are as follows (in millions):

March 31, 2025December 31, 2024
Assets
Current assets:
Cash and cash equivalents$0.2$0.4
Accounts receivable35.434.5
Other current assets10.79.6
Total current assets46.344.5
Property and equipment, net134.1135.7
Operating lease right-of-use assets1.31.3
Goodwill15.915.9
Intangible assets, net1.01.0
Other long-term assets9.69.7
Total assets$208.2$208.1
Liabilities
Current liabilities:
Current portion of long-term debt$1.0$1.0
Accounts payable6.96.2
Accrued expenses and other current liabilities22.523.7
Total current liabilities30.430.9
Long-term debt, net of current portion12.412.7
Long-term operating lease liabilities1.41.4
Total liabilities$44.2$45.0
  1. Long-term Debt

Our long-term debt outstanding consists of the following (in millions):

March 31, 2025December 31, 2024
Credit Agreement—
Advances under revolving credit facility$—$20.0
Bonds payable—
5.75% Senior Notes due 202599.999.8
4.50% Senior Notes due 2028789.3788.4
4.75% Senior Notes due 2030784.9784.2
4.625% Senior Notes due 2031392.8392.5
Other notes payable92.494.5
Finance lease obligations312.6318.4
2,471.92,497.8
Less: Current portion(138.7)(138.6)
Long-term debt, net of current portion$2,333.2$2,359.2

The following chart shows scheduled principal payments due on long-term debt for the next five years and thereafter (in millions):

Face Amount · Net Amount
April 1 through December 31, 2025$131.0$130.8
202639.439.4
202746.146.1
2028833.0822.3
202941.741.7
2030847.2832.0
Thereafter566.8559.6
Total$2,505.2$2,471.9
  1. Redeemable Noncontrolling Interests

The following is a summary of the activity related to our Redeemable noncontrolling interests (in millions):

Three Months Ended March 31,
20252024
Balance at beginning of period$56.5$42.0
Net income attributable to noncontrolling interests2.41.5
Distributions declared(2.8)(2.4)
Balance at end of period$56.1$41.1

The following table reconciles the net income attributable to nonredeemable Noncontrolling interests, as recorded in the shareholders’ equity section of the condensed consolidated balance sheets, and the net income attributable to Redeemable noncontrolling interests, as recorded in the mezzanine section of the condensed consolidated balance sheets, to the Net and comprehensive income attributable to noncontrolling interests presented in the condensed consolidated statements of comprehensive income (in millions):

Three Months Ended March 31,
20252024
Net income attributable to nonredeemable noncontrolling interests$42.6$24.8
Net income attributable to redeemable noncontrolling interests2.41.5
Net income attributable to noncontrolling interests$45.0$26.3

See also Note 5, Fair Value Measurements.

  1. Fair Value Measurements

Our financial assets and liabilities that are measured at fair value on a recurring basis are as follows (in millions):

Fair Value Measurements at Reporting Date Using
As of March 31, 2025Fair ValueQuoted Prices in Active Markets for Identical Assets(Level 1)Significant Other Observable Inputs(Level 2)Significant Unobservable Inputs(Level 3)Valuation Technique (1)
Equity securities (2)$122.9$4.3$118.6$—M
Redeemable noncontrolling interests56.1——56.1I
Equity securities (2)$130.9$4.2$126.7$—M
Redeemable noncontrolling interests56.5——56.5I

(1) The two valuation techniques are: market approach (M) and income approach (I).

(2) As of March 31, 2025, $44.6 million are included in Other current assets and $78.3 million are included in Other long-term assets in the condensed consolidated balance sheet. As of December 31, 2024, $39.0 million are included in Other current assets and $91.9 million are included in Other long-term assets in the condensed consolidated balance sheet.

There are assets and liabilities that are not required to be measured at fair value on a recurring basis. However, these assets may be recorded at fair value as a result of impairment charges or other adjustments made to the carrying value of the applicable assets. During the three months ended March 31, 2025 and 2024, we didnot record any material gains or losses related to these assets.

As discussed in Note 1, Summary of Significant Accounting Policies, “Fair Value Measurements,” to the consolidated financial statements accompanying the 2024 Form 10‑K, the carrying value equals fair value for our financial instruments that are not included in the table below and are classified as current in our condensed consolidated balance sheets. The carrying amounts and estimated fair values for all of our other financial instruments are presented in the following table (in millions):

As of March 31, 2025As of December 31, 2024
Carrying AmountEstimated Fair ValueCarrying AmountEstimated Fair Value
Long-term debt:
Advances under revolving credit facility$—$—$20.0$20.0
5.75% Senior Notes due 202599.9100.299.899.7
4.50% Senior Notes due 2028789.3776.7788.4772.3
4.75% Senior Notes due 2030784.9769.6784.2759.0
4.625% Senior Notes due 2031392.8374.4392.5369.9
Other notes payable92.492.494.594.5
Financial commitments:
Letters of credit—46.7—36.3

Fair values for our long-term debt and financial commitments are determined using inputs, including quoted prices in nonactive markets, that are observable either directly or indirectly, or Level 2 inputs within the fair value hierarchy. See Note 1, Summary of Significant Accounting Policies, “Fair Value Measurements,” to the consolidated financial statements accompanying the 2024 Form 10‑K.

  1. Share-Based Payments

During the three months ended March 31, 2025, we issued a total of 0.4 million restricted stock awards to members of our management team and our board of directors. Of the restricted stock awards issued to members of our management team,0.1 million contain only a service condition, while the remainder contain a service and/or performance condition as well as a market condition for certain members of management. For the awards that include a performance and market condition, the number of shares that will ultimately be granted to employees may vary based on the Company’s performance during the applicable three-year performance measurement period. Additionally, we granted 0.1 million stock options to members of our management team. The fair value of these awards and options was determined using the policies described in Note 1, Summary of Significant Accounting Policies, and Note 13, Share-Based Payments, to the consolidated financial statements accompanying the 2024 Form 10‑K.

  1. Income Taxes

Our Provision for income tax expenseof $41.6 million for the three months ended March 31, 2025 primarily resulted from the application of our estimated effective blended federal and state income tax rate primarily offset by tax benefits resulting from share-based compensation windfalls. Our Provision for income tax expenseof $38.3 million for the three months ended March 31, 2024 primarily resulted from the application of our estimated effective blended federal and state income tax rate.

  1. Earnings per Common Share

The following table sets forth the computation of basic and diluted earnings per common share (in millions, except per share amounts):

Three Months Ended March 31,
20252024
Basic:
Numerator:
Income from continuing operations$197.0$140.1
Less: Net income attributable to noncontrolling interests included in continuing operations(45.0)(26.3)
Less: Income allocated to participating securities(0.4)(0.8)
Income from continuing operations attributable to Encompass Health common shareholders151.6113.0
Loss from discontinued operations attributable to Encompass Health common shareholders(0.5)(1.3)
Net income attributable to Encompass Health common shareholders$151.1$111.7
Denominator:
Basic weighted average common shares outstanding100.599.8
Basic earnings per share attributable to Encompass Health common shareholders:
Continuing operations$1.50$1.13
Discontinued operations—(0.01)
Net income$1.50$1.12
Diluted:
Numerator:
Income from continuing operations$197.0$140.1
Less: Net income attributable to noncontrolling interests included in continuing operations(45.0)(26.3)
Income from continuing operations attributable to Encompass Health common shareholders152.0113.8
Loss from discontinued operations attributable to Encompass Health common shareholders(0.5)(1.3)
Net income attributable to Encompass Health common shareholders$151.5$112.5
Denominator:
Diluted weighted average common shares outstanding102.1102.2
Diluted earnings per share attributable to Encompass Health common shareholders:
Continuing operations$1.48$1.11
Discontinued operations—(0.01)
Net income$1.48$1.10

The following table sets forth the reconciliation between basic weighted average common shares outstanding and diluted weighted average common shares outstanding (in millions):

Three Months Ended March 31,
20252024
Basic weighted average common shares outstanding100.599.8
Restricted stock awards, dilutive stock options, and restricted stock units1.62.4
Diluted weighted average common shares outstanding102.1102.2

See Note 16, Earnings per Common Share, to the consolidated financial statements accompanying the 2024 Form 10‑K for additional information related to our common stock.

  1. Contingencies and Other Commitments

We provide services in the highly regulated healthcare industry. Furthermore, operating inpatient rehabilitation hospitals requires significant staffing and involves intensive therapy for individuals suffering from significant physical or cognitive disabilities or injuries. As a result, various lawsuits, claims, and legal and regulatory proceedings have been and can be expected to be instituted or asserted against us. The resolution of any such lawsuits, claims, or legal and regulatory proceedings could materially and adversely affect our financial position, results of operations, and cash flows in a given period.

Other Matters—

The False Claims Act allows private citizens, called “relators,” to institute civil proceedings on behalf of the United States alleging violations of the False Claims Act. These lawsuits, also known as “whistleblower” or “qui tam” actions, can involve significant monetary damages, fines, attorneys’ fees and the award of bounties to the relators who successfully prosecute or bring these suits to the government. Qui tam cases are sealed at the time of filing, which means knowledge of the information contained in the complaint typically is limited to the relator, the federal government, and the presiding court. The defendant in aqui tam action may remain unaware of the existence of a sealed complaint or its specific claims for years. While the complaint is under seal, the government reviews the merits of the case and may conduct a broad investigation and seek discovery from the defendant and other parties before deciding whether to intervene in the case and take the lead on litigating the claims. The court lifts the seal when the government makes its decision on whether to intervene. If the government decides not to intervene, the relator may elect to continue to pursue the lawsuit individually on behalf of the government. It is possible thatqui tam lawsuits have been filed against us, which suits remain under seal, or that we are unaware of such filings or precluded by existing law or court order from discussing or disclosing the filing of such suits. We may be subject to liability under one or more undisclosedqui tam cases brought pursuant to the False Claims Act.

It is our obligation as a participant in Medicare and other federal healthcare programs to routinely conduct audits and reviews of the accuracy of our billing systems and other regulatory compliance matters. As a result of these reviews, we have made, and will continue to make, disclosures to the United States Department of Health and Human Services Office of Inspector General and the Centers for Medicare & Medicaid Services relating to amounts we suspect represent over-payments from these programs, whether due to inaccurate billing or otherwise. Some of these disclosures have resulted in, and may in the future result in, Encompass Health refunding amounts to Medicare or other federal healthcare programs.

Other Commitments—

We are a party to service and other contracts in connection with conducting our business. Minimum amounts due under these agreements are $50.5 million for the remainder of 2025, $51.7 million in 2026, $35.3 million in 2027, $29.7 million in 2028, $25.6 million in 2029, and $60.6 million thereafter. These contracts primarily relate to software licensing and support and medical equipment.

  1. Segment Reporting:

We manage our operations usingone operating segment which is also our reportable segment: inpatient rehabilitation. Our national network of inpatient rehabilitation hospitals provide specialized rehabilitative treatment on an inpatient basis. Our inpatient rehabilitation hospitals provide a higher level of rehabilitative care to patients who are recovering from conditions such as stroke and other neurological disorders, cardiac and pulmonary conditions, brain and spinal cord injuries, complex orthopedic conditions, and amputations.

The accounting policies of our reportable segment are the same as those described in Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements accompanying the 2024 Form 10‑K. All revenues for our services are generated through external customers. See Note 1, Basis of Presentation, “Net Operating Revenues,” for the disaggregation of our revenues. Our chief operating decision maker (“CODM”) is the chief executive officer. Our CODM evaluates the performance and allocates resources based on adjusted earnings before interest, taxes, depreciation, and amortization (“Adjusted EBITDA”). Our CODM primarily considers forecast-to-budget variances and current year actuals to prior year actuals variances to assess performance and to help inform operating decisions, including allocating resources.

Selected financial information, including significant segment expenses, for our reportable segment is as follows (in millions):

Three Months Ended March 31,
20252024
Net operating revenues$1,455.4$1,316.0
Less:
Salaries and benefits762.3711.6
Other operating expenses217.3190.2
Supplies62.258.5
Occupancy costs14.914.0
General and administrative expenses43.338.9
Net income attributable to noncontrolling interests45.033.6
Other segment items(1)(3.2)(3.8)
Adjusted EBITDA$313.6$273.0

(1)Includes interest income, investment gain or loss, and equity in net income of nonconsolidated affiliates.

Segment reconciliation (in millions):

Three Months Ended March 31,
20252024
Adjusted EBITDA$313.6$273.0
Stock-based compensation(9.5)(9.3)
Depreciation and amortization(79.2)(70.3)
Loss on disposal or impairment of assets(0.2)(13.7)
Interest expense and amortization of debt discounts and fees(31.8)(35.2)
Net income attributable to noncontrolling interests45.026.3
Change in fair market value of equity securities0.70.3
Asset impairment impact on noncontrolling interests—7.3
Income from continuing operations before income tax expense$238.6$178.4

Additional detail regarding the revenues of our operating segment by service line follows (in millions):

Three Months Ended March 31,
20252024
Net operating revenues:
Inpatient$1,417.7$1,282.7
Outpatient and other37.733.3
Net operating revenues$1,455.4$1,316.0

Equity in net income of consolidated affiliates and the Provision for income tax expense are reported on our condensed consolidated statements of comprehensive income. Segment assets are reported on our condensed consolidated balance sheets as Total assets. Segment capital expenditures are reported on our condensed consolidated statements of cash flows as Purchases of property, equipment, and intangible assets.

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