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Organization and Summary of Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2021

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 estimated fair values of the Company's long-term debt follows (in millions):

						Carrying Amount												Fair Value
						December 31,												December 31,
						2021						2020						2021						2020
Senior secured term loan						$	1,530.7					$	1,539.4					$	1,530.7					$	1,533.4
6.750% senior unsecured notes due 2025						$	370.0					$	370.0					$	371.9					$	376.0
10.000% senior unsecured notes due 2027						$	545.0					$	545.0					$	577.0					$	596.8

Schedule of Revenues by Service Type

A summary of revenues by service type as a percentage of total revenues follows:

						Year Ended December 31,
						2021						2020						2019
Patient service revenues:
Surgical facilities revenues						95.7		%				95.3		%				94.1		%
Ancillary services revenues						3.0		%				3.4		%				4.3		%
Total patient service revenues						98.7		%				98.7		%				98.4		%
Other service revenues						1.3		%				1.3		%				1.6		%
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,
						2021												2020												2019
						Amount						%						Amount						%						Amount						%
Patient service revenues:
Private insurance						$	1,110.1					50.6		%				$	989.9					53.9		%				$	970.5					53.8		%
Government						949.9						43.3		%				708.5						38.6		%				701.9						38.9		%
Self-pay						61.1						2.8		%				58.5						3.2		%				46.1						2.6		%
Other (1)						73.9						3.3		%				79.2						4.3		%				84.6						4.7		%
Total patient service revenues						2,195.0						100.0		%				1,836.1						100.0		%				1,803.1						100.0		%
Other service revenues						30.1												24.0												28.3
Total revenues						$	2,225.1											$	1,860.1											$	1,831.4

(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, 2021 and 2020 is as follows (in millions):

						December 31,
						2021						2020
Balance at beginning of period						$	306.8					$	321.0
Net income attributable to non-controlling interests—redeemable						48.9						31.7
Acquisition and disposal of shares of non-controlling interests, net—redeemable						17.9						(9.4)
Distributions to non-controlling interest —redeemable holders						(43.4)						(36.5)
Balance at end of period						$	330.2					$	306.8

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