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Organization and Summary of Accounting Policies (Tables)

12 Months Ended

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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