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v3.24.3

Organization and Summary of Accounting Policies (Tables) | 9 Months Ended
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Sep. 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 September 30, |  |  |  | Nine Months Ended September 30,
|  | 2024 |  | 2023 |  |  |  | 2024 |  | 2023
Patient service revenues: |  |  |  |  |  |  |  |  |  |
Surgical Facility Services |  | 93.3 | % |  | 95.8 | % |  |  |  | 94.1 | % |  | 95.9 | %
Ancillary Services |  | 4.4 | % |  | 2.4 | % |  |  |  | 4.0 | % |  | 2.5 | %
Total patient service revenues |  | 97.7 | % |  | 98.2 | % |  |  |  | 98.1 | % |  | 98.4 | %
Other service revenues |  | 2.3 | % |  | 1.8 | % |  |  |  | 1.9 | % |  | 1.6 | %
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,
|  | 2024 |  | 2023 |  |
|  | Amount |  | % |  | Amount |  | % |  |  |  |
Patient service revenues: |  |  |  |  |  |  |  |  |  |  |  |
Private insurance |  | $ | 393.2 |  |  | 52.2 | % |  | $ | 347.1 |  |  | 52.4 | % |  |  |  |
Government |  | 318.3 |  |  | 42.3 | % |  | 271.6 |  |  | 41.0 | % |  |  |  |
Self-pay |  | 19.7 |  |  | 2.6 | % |  | 16.9 |  |  | 2.6 | % |  |  |  |
Other (1) |  | 22.0 |  |  | 2.9 | % |  | 26.7 |  |  | 4.0 | % |  |  |  |
Total patient service revenues |  | 753.2 |  |  | 100.0 | % |  | 662.3 |  |  | 100.0 | % |  |  |  |
Other service revenues |  | 17.2 |  |  |  |  | 11.8 |  |  |  |  |  |  |
Total revenues |  | $ | 770.4 |  |  |  |  | $ | 674.1 |  |  |  |  |  |  |
|  | Nine Months Ended September 30,
|  | 2024 |  | 2023 |  |
|  | Amount |  | % |  | Amount |  | % |  |  |  |
Patient service revenues: |  |  |  |  |  |  |  |  |  |  |  |
Private insurance |  | $ | 1,152.2 |  |  | 52.2 | % |  | $ | 1,024.3 |  |  | 51.8 | % |  |  |  |
Government |  | 932.0 |  |  | 42.2 | % |  | 837.6 |  |  | 42.4 | % |  |  |  |
Self-pay |  | 60.2 |  |  | 2.7 | % |  | 49.6 |  |  | 2.5 | % |  |  |  |
Other (1) |  | 62.2 |  |  | 2.9 | % |  | 65.2 |  |  | 3.3 | % |  |  |  |
Total patient service revenues |  | 2,206.6 |  |  | 100.0 | % |  | 1,976.7 |  |  | 100.0 | % |  |  |  |
Other service revenues |  | 43.3 |  |  |  |  | 31.2 |  |  |  |  |  |  |
Total revenues |  | $ | 2,249.9 |  |  |  |  | $ | 2,007.9 |  |  |  |  |  |  |
(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 nine months ended September 30, 2024 is as follows (in millions):
Balance as of December 31, 2023 |  | $ | 4,326.0 |
Acquisitions, including post acquisition adjustments |  | 495.4 |
Disposals |  | (6.0) |
Balance as of September 30, 2024 |  | $ | 4,815.4 |
Schedule of Rollforward of Non-Controlling Interests - Redeemable | A summary of activity related to redeemable non-controlling interests is as follows (in millions):
|  | Nine Months Ended September 30,
|  | 2024 |  | 2023
Balance at beginning of period |  | $ | 327.4 |  |  | $ | 342.0 |
Net income attributable to non-controlling interests—redeemable |  | 19.2 |  |  | 25.6 |
Acquisition and disposal of shares of non-controlling interests, net—redeemable |  | 121.4 |  |  | (2.2) |
Distributions to non-controlling interest —redeemable holders |  | (31.6) |  |  | (33.2) |
Balance at end of period |  | $ | 436.4 |  |  | $ | 332.2 |
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, 2024 |  | December 31, 2023 |  | September 30, 2024 |  | December 31, 2023
Senior secured term loan |  | $ | 1,391.5 |  |  | $ | 1,398.4 |  |  | $ | 1,393.2 |  |  | $ | 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 |  |  | $ | — |  |  | $ | 835.0 |  |  | $ | — |

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