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Organization and Summary of Accounting Policies (Tables) | 9 Months Ended
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Sep. 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 September 30, |  | Nine Months Ended September 30,
|  | 2022 |  | 2021 |  | 2022 |  | 2021
Patient service revenues: |  |  |  |  |  |  |  |
Surgical facilities revenues |  | 95.6 | % |  | 95.6 | % |  | 95.7 | % |  | 95.5 | %
Ancillary services revenues |  | 2.7 | % |  | 3.0 | % |  | 2.8 | % |  | 3.1 | %
Total patient service revenues |  | 98.3 | % |  | 98.6 | % |  | 98.5 | % |  | 98.6 | %
Other service revenues |  | 1.7 | % |  | 1.4 | % |  | 1.5 | % |  | 1.4 | %
Total revenues |  | 100.0 | % |  | 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,
|  | 2022 |  | 2021
|  | Amount |  | % |  | Amount |  | %
Patient service revenues: |  |  |  |  |  |  |  |
Private insurance |  | $ | 301.9 |  |  | 49.5 | % |  | $ | 271.4 |  |  | 49.2 | %
Government |  | 269.5 |  |  | 44.2 | % |  | 248.0 |  |  | 45.0 | %
Self-pay |  | 16.0 |  |  | 2.6 | % |  | 15.9 |  |  | 2.9 | %
Other (1) |  | 22.7 |  |  | 3.7 | % |  | 16.1 |  |  | 2.9 | %
Total patient service revenues |  | 610.1 |  |  | 100.0 | % |  | 551.4 |  |  | 100.0 | %
Other service revenues |  | 10.5 |  |  |  |  | 7.8 |  |  |
Total revenues |  | $ | 620.6 |  |  |  |  | $ | 559.2 |  |  |
|  | Nine Months Ended September 30,
|  | 2022 |  | 2021
|  | Amount |  | % |  | Amount |  | %
Patient service revenues: |  |  |  |  |  |  |  |
Private insurance |  | $ | 910.5 |  |  | 50.4 | % |  | $ | 790.5 |  |  | 49.6 | %
Government |  | 776.5 |  |  | 43.0 | % |  | 700.6 |  |  | 44.0 | %
Self-pay |  | 49.2 |  |  | 2.7 | % |  | 46.9 |  |  | 2.9 | %
Other (1) |  | 68.9 |  |  | 3.9 | % |  | 55.0 |  |  | 3.5 | %
Total patient service revenues |  | 1,805.1 |  |  | 100.0 | % |  | 1,593.0 |  |  | 100.0 | %
Other service revenues |  | 27.1 |  |  |  |  | 21.9 |  |  |
Total revenues |  | $ | 1,832.2 |  |  |  |  | $ | 1,614.9 |  |  |
(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, 2022 is as follows (in millions):
Balance at December 31, 2021 |  | $ | 3,911.8 |
Acquisitions, including post acquisition adjustments |  | 262.9 |
Disposals and deconsolidations |  | (29.4) |
Balance at September 30, 2022 |  | $ | 4,145.3 |
Schedule of Rollforward of Noncontrolling Interest - Redeemable | A summary of activity related to non-controlling interests—redeemable is as follows (in millions):
|  | Nine Months Ended September 30,
|  | 2022 |  | 2021
Balance at beginning of period |  | $ | 330.2 |  |  | $ | 306.8 |
Net income attributable to non-controlling interests—redeemable |  | 29.9 |  |  | 33.8 |
Acquisition of shares of non-controlling interests, net—redeemable |  | 11.9 |  |  | 2.4 |
Distributions to non-controlling interest—redeemable holders |  | (33.2) |  |  | (32.6) |
Balance at end of period |  | $ | 338.8 |  |  | $ | 310.4 |
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 Amount |  | Fair Value
|  | September 30, 2022 |  | December 31, 2021 |  | September 30, 2022 |  | December 31, 2021
Senior secured term loan |  | $ | 1,519.6 |  |  | $ | 1,530.7 |  |  | $ | 1,443.6 |  |  | $ | 1,530.7 |
6.750% senior unsecured notes due 2025 |  | $ | 370.0 |  |  | $ | 370.0 |  |  | $ | 351.0 |  |  | $ | 371.9 |
10.000% senior unsecured notes due 2027 |  | $ | 545.0 |  |  | $ | 545.0 |  |  | $ | 539.6 |  |  | $ | 577.0 |

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