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Organization and Summary of Accounting Policies (Tables)
 9 Months Ended
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,
2024202320242023
Patient service revenues:
Surgical Facility Services 93.3 %95.8 %94.1 %95.9 %
Ancillary Services4.4 %2.4 %4.0 %2.5 %
Total patient service revenues97.7 %98.2 %98.1 %98.4 %
Other service revenues2.3 %1.8 %1.9 %1.6 %
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,
20242023
Amount%Amount%
Patient service revenues:
Private insurance$393.2 52.2 %$347.1 52.4 %
Government318.3 42.3 %271.6 41.0 %
Self-pay19.7 2.6 %16.9 2.6 %
Other (1)
22.0 2.9 %26.7 4.0 %
Total patient service revenues753.2 100.0 %662.3 100.0 %
Other service revenues17.2 11.8 
Total revenues$770.4 $674.1 
Nine Months Ended September 30,
20242023
Amount%Amount%
Patient service revenues:
Private insurance$1,152.2 52.2 %$1,024.3 51.8 %
Government932.0 42.2 %837.6 42.4 %
Self-pay60.2 2.7 %49.6 2.5 %
Other (1)
62.2 2.9 %65.2 3.3 %
Total patient service revenues2,206.6 100.0 %1,976.7 100.0 %
Other service revenues43.3 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 adjustments495.4 
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,
20242023
Balance at beginning of period$327.4 $342.0 
Net income attributable to non-controlling interests—redeemable19.2 25.6 
Acquisition and disposal of shares of non-controlling interests, net—redeemable121.4 (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 AmountFair 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 $—