XML 87 R21.htm IDEA: XBRL DOCUMENT v3.23.2
Organization and Summary of Accounting Policies (Tables)
 6 Months Ended
Jun. 30, 2023
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,
2023202220232022
Patient service revenues:
   Surgical facilities revenues96.0 %95.9 %96.0 %95.8 %
   Ancillary services revenues2.6 %2.8 %2.5 %2.8 %
Total patient service revenues98.6 %98.7 %98.5 %98.6 %
Other service revenues1.4 %1.3 %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 June 30,
20232022
Amount%Amount%
Patient service revenues:
Private insurance$341.6 51.9 %$309.5 51.0 %
Government278.2 42.3 %258.1 42.5 %
Self-pay17.1 2.6 %16.5 2.7 %
Other (1)
21.1 3.2 %23.2 3.8 %
Total patient service revenues658.0 100.0 %607.3 100.0 %
Other service revenues9.6 8.1 
Total revenues$667.6 $615.4 
Six Months Ended June 30,
20232022
Amount%Amount%
Patient service revenues:
Private insurance$677.2 51.5 %$608.6 50.9 %
Government566.0 43.1 %507.0 42.4 %
Self-pay32.7 2.5 %33.2 2.8 %
Other (1)
38.5 2.9 %46.2 3.9 %
Total patient service revenues1,314.4 100.0 %1,195.0 100.0 %
Other service revenues19.4 16.6 
Total revenues$1,333.8 $1,211.6 
(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, 2023 is as follows (in millions):
Balance at December 31, 2022$4,137.1 
Acquisitions, including post acquisition adjustments134.6 
Disposals(35.8)
Balance at June 30, 2023$4,235.9 
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,
20232022
Balance at beginning of period$342.0 $330.2 
Net income attributable to non-controlling interests—redeemable19.0 21.6 
Acquisition of shares of non-controlling interests, net—redeemable(10.0)12.9 
Distributions to non-controlling interest—redeemable holders(22.9)(22.9)
Balance at end of period$328.1 $341.8 
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,
2023		December 31,
2022		June 30,
2023		December 31,
2022
Senior secured term loan$1,370.2 $1,370.0 $1,366.8 $1,359.7 
6.750% senior unsecured notes due 2025
$185.0 $185.0 $183.8 $183.4 
10.000% senior unsecured notes due 2027
$320.0 $320.0 $326.4 $326.8