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Organization and Summary of Accounting Policies (Tables)
 9 Months Ended
Sep. 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
September 30,
2021		December 31,
2020		September 30,
2021		December 31,
2020
Senior secured term loan$1,534.5 $1,539.4 $1,523.0 $1,533.4 
6.750% senior unsecured notes due 2025
$370.0 $370.0 $376.0 $376.0 
10.000% senior unsecured notes due 2027
$545.0 $545.0 $589.3 $596.8 
Schedule of Revenues
A summary of revenues by service type as a percentage of total revenues follows:
Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Patient service revenues:
   Surgical facilities revenues95.6 %95.4 %95.5 %95.0 %
   Ancillary services revenues3.0 %3.4 %3.1 %3.6 %
Total patient service revenues98.6 %98.8 %98.6 %98.6 %
Other service revenues1.4 %1.2 %1.4 %1.4 %
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 September 30,
20212020
Amount%Amount%
Patient service revenues:
Private insurance$271.4 49.2 %$257.4 52.6 %
Government248.0 45.0 %188.8 38.5 %
Self-pay15.9 2.9 %19.4 4.0 %
Other (1)
16.1 2.9 %24.2 4.9 %
Total patient service revenues551.4 100.0 %489.8 100.0 %
Other service revenues7.8 6.3 
Total revenues$559.2 $496.1 
Nine Months Ended September 30,
20212020
Amount%Amount%
Patient service revenues:
Private insurance$790.5 49.6 %$682.6 52.8 %
Government700.6 44.0 %505.4 39.1 %
Self-pay46.9 2.9 %43.4 3.4 %
Other (1)
55.0 3.5 %62.1 4.7 %
Total patient service revenues1,593.0 100.0 %1,293.5 100.0 %
Other service revenues21.9 18.3 
Total revenues$1,614.9 $1,311.8 
(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 nine months ended September 30, 2021 is as follows (in millions):
Balance at December 31, 2020$3,468.0 
Acquisitions, including post acquisition adjustments145.7 
Divestitures and deconsolidations(0.1)
Balance at September 30, 2021$3,613.6 
Schedule of Rollforward of Noncontrolling Interest - Redeemable
A summary of activity related to non-controlling interests—redeemable for the nine months ended September 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—redeemable33.8 19.3 
Acquisition (disposal) of shares of non-controlling interests, net—redeemable2.4 (7.9)
Distributions to non-controlling interest—redeemable holders(32.6)(27.7)
Balance at end of period$310.4 $304.7