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Organization and Summary of Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract] |
Schedule of Carrying Values and Estimated Fair Values of Debt Instruments | A summary of the carrying amounts and fair values of the Company's long-term debt follows (in millions):
|  | Carrying Amount |  | Fair Value
|  | December 31, |  | December 31,
|  | 2020 |  | 2019 |  | 2020 |  | 2019
Senior secured term loan |  | $ | 1,539.4 |  |  | $ | 1,434.1 |  |  | $ | 1,533.4 |  |  | $ | 1,434.1 |
6.750% senior unsecured notes due 2025 |  | $ | 370.0 |  |  | $ | 370.0 |  |  | $ | 376.0 |  |  | $ | 368.2 |
10.000% senior unsecured notes due 2027 |  | $ | 545.0 |  |  | $ | 430.0 |  |  | $ | 596.8 |  |  | $ | 471.4 |
Schedule of Revenues by Service Type | A summary of revenues by service type as a percentage of total revenues follows:
|  | Year Ended December 31,
|  | 2020 |  | 2019 |  | 2018
Patient service revenues: |  |  |  |  |  |
Surgical facilities revenues |  | 95.3 | % |  | 94.1 | % |  | 93.6 | %
Ancillary services revenues |  | 3.4 | % |  | 4.3 | % |  | 4.5 | %
|  | 98.7 | % |  | 98.4 | % |  | 98.1 | %
Other service revenues: |  |  |  |  |  |
Optical services revenues |  | 0.2 | % |  | 0.2 | % |  | 0.5 | %
Other |  | 1.1 | % |  | 1.4 | % |  | 1.4 | %
|  | 1.3 | % |  | 1.6 | % |  | 1.9 | %
Total revenues |  | 100.0 | % |  | 100.0 | % |  | 100.0 | %
Schedule of Revenue Sources for Patient Service Revenues | The following table sets forth patient service revenues by type of payor and as a percentage of total patient service revenues for the Company's consolidated surgical facilities (dollars in millions):
|  | Year Ended December 31,
|  | 2020 |  | 2019 |  | 2018
|  | Amount |  | % |  | Amount |  | % |  | Amount |  | %
Patient service revenues: |  |  |  |  |  |  |  |  |  |  |  |
Private insurance |  | $ | 989.9 |  |  | 53.9 | % |  | $ | 970.5 |  |  | 53.8 | % |  | $ | 948.9 |  |  | 54.6 | %
Government |  | 708.5 |  |  | 38.6 | % |  | 701.9 |  |  | 38.9 | % |  | 653.3 |  |  | 37.6 | %
Self-pay |  | 58.5 |  |  | 3.2 | % |  | 46.1 |  |  | 2.6 | % |  | 50.0 |  |  | 2.9 | %
Other (1) |  | 79.2 |  |  | 4.3 | % |  | 84.6 |  |  | 4.7 | % |  | 84.8 |  |  | 4.9 | %
Total patient service revenues |  | 1,836.1 |  |  | 100.0 | % |  | 1,803.1 |  |  | 100.0 | % |  | 1,737.0 |  |  | 100.0 | %
Other service revenues: |  |  |  |  |  |  |  |  |  |  |  |
Optical service revenues |  | 3.0 |  |  |  |  | 3.8 |  |  |  |  | 9.5 |  |  |
Other revenues |  | 21.0 |  |  |  |  | 24.5 |  |  |  |  | 25.0 |  |  |
Total revenues |  | $ | 1,860.1 |  |  |  |  | $ | 1,831.4 |  |  |  |  | $ | 1,771.5 |  |  |
(1)Other is comprised of anesthesia service agreements, auto liability, letters of protection and other payor types.
Schedule of Rollforward of Non-Controlling Interests - Redeemable | A summary of activity related to the non-controlling interests—redeemable for the years ended December 31, 2020 and 2019 is as follows (in millions):
|  | December 31,
|  | 2020 |  | 2019
Balance at beginning of period |  | $ | 321.0 |  |  | $ | 326.6 |
Net income attributable to non-controlling interests—redeemable |  | 31.7 |  |  | 39.1 |
Acquisition and disposal of shares of non-controlling interests, net—redeemable |  | (9.4) |  |  | (4.7) |
Distributions to non-controlling interest —redeemable holders |  | (36.5) |  |  | (40.0) |
Balance at end of period |  | $ | 306.8 |  |  | $ | 321.0 |

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