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Organization and Summary of Accounting Policies (Tables) | 12 Months Ended
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Dec. 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:
|  | Year Ended December 31,
|  | 2024 |  | 2023 |  | 2022
Patient service revenues |  | 98.1 | % |  | 98.4 | % |  | 98.5 | %
Other service revenues |  | 1.9 | % |  | 1.6 | % |  | 1.5 | %
Total revenues |  | 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):
|  | Year Ended December 31,
|  | 2024 |  | 2023 |  | 2022
|  | Amount |  | % |  | Amount |  | % |  | Amount |  | %
Patient service revenues: |  |  |  |  |  |  |  |  |  |  |  |
Private insurance |  | $ | 1,634.2 |  |  | 53.5 | % |  | $ | 1,418.6 |  |  | 52.5 | % |  | $ | 1,288.0 |  |  | 51.5 | %
Government |  | 1,256.8 |  |  | 41.1 | % |  | 1,128.1 |  |  | 41.8 | % |  | 1,059.2 |  |  | 42.3 | %
Self-pay |  | 82.3 |  |  | 2.7 | % |  | 68.1 |  |  | 2.5 | % |  | 65.9 |  |  | 2.6 | %
Other (1) |  | 81.1 |  |  | 2.7 | % |  | 85.6 |  |  | 3.2 | % |  | 89.0 |  |  | 3.6 | %
Total patient service revenues |  | 3,054.4 |  |  | 100.0 | % |  | 2,700.4 |  |  | 100.0 | % |  | 2,502.1 |  |  | 100.0 | %
Other service revenues (2) |  | 59.9 |  |  |  |  | 42.9 |  |  |  |  | 37.2 |  |  |
Total revenues |  | $ | 3,114.3 |  |  |  |  | $ | 2,743.3 |  |  |  |  | $ | 2,539.3 |  |  |
(1)Other is comprised of automobile liability, letters of protection and other payor types. (2)Includes amounts attributable to related parties of $17.4 million, $18.4 million and $15.7 million for the years ended December 31, 2024, 2023 and 2022, respectively.
Schedule of Rollforward of Non-Controlling Interests - Redeemable | A summary of activity related to redeemable non-controlling interests for the years ended December 31, 2024 and 2023 is as follows (in millions):
|  | December 31,
|  | 2024 |  | 2023
Balance at beginning of period |  | $ | 327.4 |  |  | $ | 342.0 |
Net income attributable to non-controlling interests—redeemable |  | 36.8 |  |  | 37.8 |
Acquisition and disposal of shares of non-controlling interests, net—redeemable |  | 118.1 |  |  | (9.3) |
Distributions to non-controlling interest —redeemable holders |  | (43.5) |  |  | (43.1) |
Balance at end of period |  | $ | 438.8 |  |  | $ | 327.4 |
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
|  | December 31, |  | December 31,
|  | 2024 |  | 2023 |  | 2024 |  | 2023
Senior secured term loan |  | $ | 1,388.1 |  |  | $ | 1,398.4 |  |  | $ | 1,400.2 |  |  | $ | 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 |  |  | $ | — |  |  | $ | 815.0 |  |  | $ | — |

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- Definition Tabular disclosure of redeemable noncontrolling interest (as defined) included in the statement of financial position as either a liability or temporary equity. As of the date of the statement of financial position, such redeemable noncontrolling interest is currently redeemable, as defined, for cash or other assets of the entity at (1) at a fixed or determinable price on a fixed or determinable date, (2) at the option of the holder of the noncontrolling interest, or (3) upon occurrence of an event that is not solely within the control of the entity. + References No definition available. + Details
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