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Organization and Summary of Accounting Policies (Tables)
 3 Months Ended
Mar. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of Revenues
The following table presents a summary of revenues by service type as a percentage of total revenues:
Three Months Ended March 31,
20242023
Patient service revenues:
Surgical Facility Services 94.9 %96.0 %
Ancillary Services3.4 %2.5 %
Total patient service revenues98.3 %98.5 %
Other service revenues1.7 %1.5 %
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,
20242023
Amount%Amount%
Patient service revenues:
Private insurance$361.0 51.2 %$335.6 51.1 %
Government303.6 43.0 %287.8 43.8 %
Self-pay19.8 2.8 %15.6 2.4 %
Other (1)
20.9 3.0 %17.4 2.7 %
Total patient service revenues705.3 100.0 %656.4 100.0 %
Other service revenues12.1 9.8 
Total revenues$717.4 $666.2 
(1)Other is comprised of 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, 2024 is as follows (in millions):
Balance at December 31, 2023$4,326.0 
Acquisitions, including post acquisition adjustments77.5 
Disposals(6.0)
Balance at March 31, 2024$4,397.5 
Schedule of Rollforward of Non-Controlling Interests - Redeemable
A summary of activity related to redeemable non-controlling interests is as follows (in millions):
Three Months Ended March 31,
20242023
Balance at beginning of period$327.4 $342.0 
Net income attributable to non-controlling interests—redeemable7.4 7.8 
Acquisition and disposal of shares of non-controlling interests, net—redeemable(0.3)7.7 
Distributions to non-controlling interest —redeemable holders(10.8)(11.7)
Balance at end of period$323.7 $345.8 
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
March 31,
2024		December 31,
2023		March 31,
2024		December 31,
2023
Senior secured term loan$1,398.4 $1,398.4 $1,403.6 $1,401.9 
6.750% senior unsecured notes due 2025
$185.0 $185.0 $185.0 $183.2 
10.000% senior unsecured notes due 2027
$320.0 $320.0 $320.8 $321.2