Organization and Summary of Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2020

Organization, Consolidation and Presentation of Financial Statements [Abstract]

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
	September 30, 2020		December 31, 2019		September 30, 2020		December 31, 2019
Senior secured term loan	$	1,543.1	$	1,434.1	$	1,455.2	$	1,434.1
6.750% senior unsecured notes due 2025	$	370.0	$	370.0	$	363.1	$	368.2
10.000% senior unsecured notes due 2027	$	545.0	$	430.0	$	577.0	$	471.4

Schedule of Revenues

A summary of revenues by service type as a percentage of total revenues follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Patient service revenues:
Surgical facilities revenues	95.4	%	93.9	%	95.0	%	94.0	%
Ancillary services revenues	3.4	%	4.4	%	3.6	%	4.6	%
	98.8	%	98.3	%	98.6	%	98.6	%
Other service revenues:
Optical services revenues	0.2	%	0.2	%	0.2	%	0.2	%
Other revenues	1.0	%	1.5	%	1.2	%	1.2	%
	1.2	%	1.7	%	1.4	%	1.4	%
Total revenues	100.0	%	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,
	2020				2019
	Amount		%		Amount		%
Patient service revenues:
Private insurance	$	257.4	52.6	%	$	236.3	53.2	%
Government	188.8		38.5	%	175.4		39.5	%
Self-pay	19.4		4.0	%	11.8		2.7	%
Other (1)	24.2		4.9	%	21.0		4.6	%
Total patient service revenues	489.8		100.0	%	444.5		100.0	%
Other service revenues:
Optical services revenues	0.9				0.9
Other revenues	5.4				6.6
Total revenues	$	496.1			$	452.0
	Nine Months Ended September 30,
	2020				2019
	Amount		%		Amount		%
Patient service revenues:
Private insurance	$	682.6	52.8	%	$	682.1	52.7	%
Government	505.4		39.1	%	518.4		40.0	%
Self-pay	43.4		3.4	%	32.1		2.5	%
Other (1)	62.1		4.7	%	62.2		4.8	%
Total patient service revenues	1,293.5		100.0	%	1,294.8		100.0	%
Other service revenues:
Optical services revenues	2.2				3.0
Other revenues	16.1				16.4
Total revenues	$	1,311.8			$	1,314.2

(1)Other is comprised of anesthesia service agreements, automobile liability, letters of protection and other payor types.

Schedule of Rollforward of Noncontrolling Interest - Redeemable

A summary of activity related to non-controlling interests—redeemable for the nine months ended September 30, 2020 and 2019 is as follows (in millions):

	2020		2019
Balance at beginning of period	$	321.0	$	326.6
Net income attributable to non-controlling interests—redeemable	19.3		24.1
Acquisition and disposal of shares of non-controlling interests, net—redeemable	(7.9)		(7.8)
Distributions to non-controlling interest—redeemable holders	(27.7)		(28.4)
Balance at end of period	$	304.7	$	314.5