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Organization and Summary of Accounting Policies (Tables)
 12 Months Ended
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,
202420232022
Patient service revenues
98.1 %98.4 %98.5 %
Other service revenues1.9 %1.6 %1.5 %
Total revenues100.0 %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,
202420232022
Amount%Amount%Amount%
Patient service revenues:
Private insurance$1,634.2 53.5 %$1,418.6 52.5 %$1,288.0 51.5 %
Government1,256.8 41.1 %1,128.1 41.8 %1,059.2 42.3 %
Self-pay82.3 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 revenues3,054.4 100.0 %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,
20242023
Balance at beginning of period$327.4 $342.0 
Net income attributable to non-controlling interests—redeemable36.8 37.8 
Acquisition and disposal of shares of non-controlling interests, net—redeemable118.1 (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 AmountFair Value
December 31, December 31,
2024202320242023
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 $—