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Organization and Summary of Accounting Policies (Tables)
 9 Months Ended
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,
2022202120222021
Patient service revenues:
   Surgical facilities revenues95.6 %95.6 %95.7 %95.5 %
   Ancillary services revenues2.7 %3.0 %2.8 %3.1 %
Total patient service revenues98.3 %98.6 %98.5 %98.6 %
Other service revenues1.7 %1.4 %1.5 %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,
20222021
Amount%Amount%
Patient service revenues:
Private insurance$301.9 49.5 %$271.4 49.2 %
Government269.5 44.2 %248.0 45.0 %
Self-pay16.0 2.6 %15.9 2.9 %
Other (1)
22.7 3.7 %16.1 2.9 %
Total patient service revenues610.1 100.0 %551.4 100.0 %
Other service revenues10.5 7.8 
Total revenues$620.6 $559.2 
Nine Months Ended September 30,
20222021
Amount%Amount%
Patient service revenues:
Private insurance$910.5 50.4 %$790.5 49.6 %
Government776.5 43.0 %700.6 44.0 %
Self-pay49.2 2.7 %46.9 2.9 %
Other (1)
68.9 3.9 %55.0 3.5 %
Total patient service revenues1,805.1 100.0 %1,593.0 100.0 %
Other service revenues27.1 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 adjustments262.9 
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,
20222021
Balance at beginning of period$330.2 $306.8 
Net income attributable to non-controlling interests—redeemable29.9 33.8 
Acquisition of shares of non-controlling interests, net—redeemable11.9 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 AmountFair 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