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Organization and Summary of Accounting Policies (Tables)
 6 Months Ended
Jun. 30, 2022
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
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,
2022202120222021
Patient service revenues:
   Surgical facilities revenues95.9 %95.5 %95.8 %95.5 %
   Ancillary services revenues2.8 %3.2 %2.8 %3.2 %
Total patient service revenues98.7 %98.7 %98.6 %98.7 %
Other service revenues1.3 %1.3 %1.4 %1.3 %
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,
20222021
Amount%Amount%
Patient service revenues:
Private insurance$309.5 51.0 %$273.0 50.9 %
Government258.1 42.5 %226.2 42.2 %
Self-pay16.5 2.7 %17.8 3.3 %
Other (1)
23.2 3.8 %18.9 3.6 %
Total patient service revenues607.3 100.0 %535.9 100.0 %
Other service revenues8.1 7.4 
Total revenues$615.4 $543.3 
Six Months Ended June 30,
20222021
Amount%Amount%
Patient service revenues:
Private insurance$608.6 50.9 %$519.1 49.8 %
Government507.0 42.4 %452.6 43.5 %
Self-pay33.2 2.8 %31.0 3.0 %
Other (1)
46.2 3.9 %38.9 3.7 %
Total patient service revenues1,195.0 100.0 %1,041.6 100.0 %
Other service revenues16.6 14.1 
Total revenues$1,211.6 $1,055.7 
(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, 2022 is as follows (in millions):
Balance at December 31, 2021$3,911.8 
Acquisitions, including post acquisition adjustments110.7 
Disposals and deconsolidations(29.4)
Balance at June 30, 2022$3,993.1 
Schedule of Rollforward of Noncontrolling Interest - Redeemable
A summary of activity related to non-controlling interests—redeemable is as follows (in millions):
Six Months Ended June 30,
20222021
Balance at beginning of period$330.2 $306.8 
Net income attributable to non-controlling interests—redeemable21.6 24.4 
Acquisition of shares of non-controlling interests, net—redeemable12.9 1.9 
Distributions to non-controlling interest—redeemable holders(22.9)(20.3)
Balance at end of period$341.8 $312.8 
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,
2022		December 31,
2021		June 30,
2022		December 31,
2021
Senior secured term loan$1,523.3 $1,530.7 $1,439.5 $1,530.7 
6.750% senior unsecured notes due 2025
$370.0 $370.0 $339.0 $371.9 
10.000% senior unsecured notes due 2027
$545.0 $545.0 $531.4 $577.0