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Organization and Summary of Accounting Policies (Tables)
 6 Months Ended
Jun. 30, 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 June 30,Six Months Ended June 30,
2024202320242023
Patient service revenues:
Surgical Facility Services 94.0 %96.0 %94.5 %96.0 %
Ancillary Services4.1 %2.6 %3.8 %2.5 %
Total patient service revenues98.1 %98.6 %98.3 %98.5 %
Other service revenues1.9 %1.4 %1.7 %1.5 %
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,
20242023
Amount%Amount%
Patient service revenues:
Private insurance$398.0 53.2 %$341.6 51.9 %
Government310.1 41.5 %278.2 42.3 %
Self-pay20.7 2.8 %17.1 2.6 %
Other (1)
19.3 2.5 %21.1 3.2 %
Total patient service revenues748.1 100.0 %658.0 100.0 %
Other service revenues14.0 9.6 
Total revenues$762.1 $667.6 
Six Months Ended June 30,
20242023
Amount%Amount%
Patient service revenues:
Private insurance$759.0 52.2 %$677.2 51.5 %
Government613.7 42.2 %566.0 43.1 %
Self-pay40.5 2.8 %32.7 2.5 %
Other (1)
40.2 2.8 %38.5 2.9 %
Total patient service revenues1,453.4 100.0 %1,314.4 100.0 %
Other service revenues26.1 19.4 
Total revenues$1,479.5 $1,333.8 
(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 six months ended June 30, 2024 is as follows (in millions):
Balance at December 31, 2023$4,326.0 
Acquisitions, including post acquisition adjustments486.3 
Disposals(6.0)
Balance at June 30, 2024$4,806.3 
Schedule of Rollforward of Non-Controlling Interests - Redeemable
A summary of activity related to redeemable non-controlling interests is as follows (in millions):
Six Months Ended June 30,
20242023
Balance at beginning of period$327.4 $342.0 
Net income attributable to non-controlling interests—redeemable15.8 19.0 
Acquisition and disposal of shares of non-controlling interests, net—redeemable120.3 (10.0)
Distributions to non-controlling interest —redeemable holders(21.4)(22.9)
Balance at end of period$442.1 $328.1 
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,
2024		December 31,
2023		June 30,
2024		December 31,
2023
Senior secured term loan$1,398.5 $1,398.4 $1,402.0 $1,401.9 
6.750% senior unsecured notes due 2025
$— $185.0 $— $183.2 
10.000% senior unsecured notes due 2027
$— $320.0 $— $321.2 
7.250% senior unsecured notes due 2032
$800.0 $— $808.0 $—