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Organization and Summary of Accounting Policies (Tables)
 3 Months Ended
Mar. 31, 2025
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 March 31,
20252024
Patient service revenues97.8 %98.3 %
Other service revenues2.2 %1.7 %
Total revenues100.0 %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 March 31,
20252024
Amount%Amount%
Patient service revenues:
Private insurance$406.4 53.6 %$361.0 51.2 %
Government316.2 41.7 %303.6 43.0 %
Self-pay19.8 2.6 %19.8 2.8 %
Other (1)
16.0 2.1 %20.9 3.0 %
Total patient service revenues758.4 100.0 %705.3 100.0 %
Other service revenues17.6 12.1 
Total revenues$776.0 $717.4 
(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 three months ended March 31, 2025 is as follows (in millions):
Balance as of December 31, 2024$5,068.0 
Acquisitions, including post acquisition adjustments69.6 
Disposals(11.4)
Balance as of March 31, 2025$5,126.2 
Schedule of Rollforward of Non-Controlling Interests - Redeemable
A summary of activity related to redeemable non-controlling interests is as follows (in millions):
Three Months Ended March 31,
20252024
Balance at beginning of period$438.8 $327.4 
Net income attributable to non-controlling interests—redeemable4.8 7.4 
Acquisition and disposal of shares of non-controlling interests, net—redeemable1.0 (0.3)
Distributions to non-controlling interest —redeemable holders(14.1)(10.8)
Balance at end of period$430.5 $323.7 
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
March 31,
2025		December 31,
2024		March 31,
2025		December 31,
2024
Senior secured term loan$1,384.6 $1,388.1 $1,381.1 $1,400.2 
7.250% senior unsecured notes due 2032
$800.0 $800.0 $790.0 $815.0