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Organization and Summary of Accounting Policies (Tables)
 6 Months Ended
Jun. 30, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of Carrying Amounts and Fair Values of Long-Term Debt
A summary of the carrying amounts and estimated fair values of the Company's long-term debt follows (in millions):
Carrying AmountFair Value
June 30,
2021		December 31,
2020		June 30,
2021		December 31,
2020
Senior secured term loan$1,538.2 $1,539.4 $1,530.5 $1,533.4 
6.750% senior unsecured notes due 2025
$370.0 $370.0 $374.2 $376.0 
10.000% senior unsecured notes due 2027
$545.0 $545.0 $596.1 $596.8 
Schedule of Revenues
A summary of revenues by service type as a percentage of total revenues follows:
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Patient service revenues:
   Surgical facilities revenues95.5 %95.0 %95.5 %94.8 %
   Ancillary services revenues3.2 %3.5 %3.2 %3.7 %
Total patient service revenues98.7 %98.5 %98.7 %98.5 %
Other service revenues1.3 %1.5 %1.3 %1.5 %
Total revenues100.0 %100.0 %100.0 %100.0 %
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):
Three Months Ended June 30,
20212020
Amount%Amount%
Patient service revenues:
Private insurance$273.0 50.9 %$199.2 54.0 %
Government226.2 42.2 %140.8 38.1 %
Self-pay17.8 3.3 %11.2 3.0 %
Other (1)
18.9 3.6 %17.9 4.9 %
Total patient service revenues535.9 100.0 %369.1 100.0 %
Other service revenues7.4 5.6 
Total revenues$543.3 $374.7 
Six Months Ended June 30,
20212020
Amount%Amount%
Patient service revenues:
Private insurance$519.1 49.8 %$425.2 52.9 %
Government452.6 43.5 %316.6 39.4 %
Self-pay31.0 3.0 %24.0 3.0 %
Other (1)
38.9 3.7 %37.9 4.7 %
Total patient service revenues1,041.6 100.0 %803.7 100.0 %
Other service revenues14.1 12.0 
Total revenues$1,055.7 $815.7 
(1)Other is comprised of anesthesia service agreements, automobile liability, letters of protection and other payor types.
Schedule of Rollforward of Goodwill
A summary of activity related to goodwill for the six months ended June 30, 2021 is as follows (in millions):
Balance at December 31, 2020$3,468.0 
Acquisitions, including post acquisition adjustments20.2 
Divestitures and deconsolidations(0.1)
Balance at June 30, 2021$3,488.1 
Schedule of Rollforward of Noncontrolling Interest - Redeemable
A summary of activity related to non-controlling interests—redeemable for the six months ended June 30, 2021 and 2020 is as follows (in millions):
20212020
Balance at beginning of period$306.8 $321.0 
Net income attributable to non-controlling interests—redeemable24.4 11.3 
Acquisition (disposal) of shares of non-controlling interests, net—redeemable1.9 (1.7)
Distributions to non-controlling interest—redeemable holders(20.3)(15.9)
Balance at end of period$312.8 $314.7