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Organization and Summary of Accounting Policies (Tables)
 6 Months Ended
Jun. 30, 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 June 30,Six Months Ended June 30,
2025202420252024
Patient service revenues97.3 %98.1 %97.5 %98.3 %
Other service revenues2.7 %1.9 %2.5 %1.7 %
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 June 30,
20252024
Amount%Amount%
Patient service revenues:
Private insurance$416.2 51.8 %$398.0 53.2 %
Government348.5 43.3 %310.1 41.5 %
Self-pay21.7 2.7 %20.7 2.8 %
Other (1)
17.8 2.2 %19.3 2.5 %
Total patient service revenues804.2 100.0 %748.1 100.0 %
Other service revenues22.0 14.0 
Total revenues$826.2 $762.1 
Six Months Ended June 30,
20252024
Amount%Amount%
Patient service revenues:
Private insurance$822.6 52.6 %$759.0 52.2 %
Government664.7 42.5 %613.7 42.2 %
Self-pay41.5 2.7 %40.5 2.8 %
Other (1)
33.8 2.2 %40.2 2.8 %
Total patient service revenues1,562.6 100.0 %1,453.4 100.0 %
Other service revenues39.6 26.1 
Total revenues$1,602.2 $1,479.5 
(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 six months ended June 30, 2025 is as follows (in millions):
Balance as of December 31, 2024$5,068.0 
Acquisitions, including post acquisition adjustments76.1 
Disposals(45.5)
Balance as of June 30, 2025$5,098.6 
Schedule of Rollforward of Non-Controlling Interests - Redeemable
A summary of activity related to redeemable non-controlling interests is as follows (in millions):
Six Months Ended June 30,
20252024
Balance at beginning of period$438.8 $327.4 
Net income attributable to non-controlling interests—redeemable9.0 15.8 
Acquisition and disposal of shares of non-controlling interests, net—redeemable(2.0)120.3 
Distributions to non-controlling interest —redeemable holders(23.4)(21.4)
Balance at end of period$422.4 $442.1 
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
June 30,
2025		December 31,
2024		June 30,
2025		December 31,
2024
Senior secured term loan$1,381.1 $1,388.1 $1,386.3 $1,400.2 
7.250% senior unsecured notes due 2032
$800.0 $800.0 $816.0 $815.0