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Organization and Summary of Accounting Policies (Tables)
 3 Months Ended
Mar. 31, 2022
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
March 31,
2022		December 31,
2021		March 31,
2022		December 31,
2021
Senior secured term loan$1,527.0 $1,530.7 $1,504.1 $1,530.7 
6.750% senior unsecured notes due 2025
$370.0 $370.0 $367.2 $371.9 
10.000% senior unsecured notes due 2027
$545.0 $545.0 $570.2 $577.0 
Schedule of Revenues
A summary of revenues by service type as a percentage of total revenues follows:
Three Months Ended March 31,
20222021
Patient service revenues:
   Surgical facilities revenues95.7 %95.5 %
   Ancillary services revenues2.9 %3.2 %
Total patient service revenues98.6 %98.7 %
Other service revenues1.4 %1.3 %
Total revenues100.0 %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 March 31,
20222021
Amount%Amount%
Patient service revenues:
Private insurance$300.2 51.1 %$246.1 48.7 %
Government249.0 42.4 %226.4 44.8 %
Self-pay16.8 2.9 %13.2 2.6 %
Other (1)
21.7 3.6 %20.0 3.9 %
Total patient service revenues587.7 100.0 %505.7 100.0 %
Other service revenues8.5 6.7 
Total revenues$596.2 $512.4 
(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 three months ended March 31, 2022 is as follows (in millions):
Balance at December 31, 2021$3,911.8 
Acquisitions, including post acquisition adjustments43.4 
Disposals and deconsolidations(29.4)
Balance at March 31, 2022$3,925.8 
Schedule of Rollforward of Noncontrolling Interest - Redeemable
A summary of activity related to non-controlling interests—redeemable is as follows (in millions):
Three Months Ended March 31,
20222021
Balance at beginning of period$330.2 $306.8 
Net income attributable to non-controlling interests—redeemable10.6 10.7 
Acquisition of shares of non-controlling interests, net—redeemable12.3 1.2 
Distributions to non-controlling interest—redeemable holders(11.6)(10.5)
Balance at end of period$341.5 $308.2