XML 32 R21.htm IDEA: XBRL DOCUMENT v3.25.3
Organization and Summary of Accounting Policies (Tables)
 9 Months Ended
Sep. 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 September 30,Nine Months Ended September 30,
2025202420252024
Patient service revenues97.2 %97.7 %97.4 %98.1 %
Other service revenues2.8 %2.3 %2.6 %1.9 %
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,
20252024
Amount%Amount%
Patient service revenues:
Private insurance$404.1 50.6 %$393.2 52.2 %
Government347.0 43.5 %318.3 42.3 %
Self-pay26.5 3.3 %19.7 2.6 %
Other (1)
20.9 2.6 %22.0 2.9 %
Total patient service revenues798.5 100.0 %753.2 100.0 %
Other service revenues23.0 17.2 
Total revenues$821.5 $770.4 
Nine Months Ended September 30,
20252024
Amount%Amount%
Patient service revenues:
Private insurance$1,226.7 52.0 %$1,152.2 52.2 %
Government1,011.7 42.8 %932.0 42.2 %
Self-pay68.0 2.9 %60.2 2.7 %
Other (1)
54.7 2.3 %62.2 2.9 %
Total patient service revenues2,361.1 100.0 %2,206.6 100.0 %
Other service revenues62.6 43.3 
Total revenues$2,423.7 $2,249.9 
(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, 2025 is as follows (in millions):
Balance as of December 31, 2024$5,068.0 
Acquisitions, including post acquisition adjustments69.1 
Disposals(45.5)
Balance as of September 30, 2025$5,091.6 
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,
20252024
Balance at beginning of period$438.8 $327.4 
Net income attributable to non-controlling interests—redeemable15.4 19.2 
Acquisition and disposal of shares of non-controlling interests, net—redeemable(8.3)121.4 
Distributions to non-controlling interest —redeemable holders(34.9)(31.6)
Balance at end of period$411.0 $436.4 
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
September 30,
2025		December 31,
2024		September 30,
2025		December 31,
2024
Senior secured term loan$1,377.8 $1,388.1 $1,379.5 $1,400.2 
7.250% senior unsecured notes due 2032
$800.0 $800.0 $820.0 $815.0