v3.26.1
Organization and Summary of Accounting Policies (Tables)
 6 Months Ended
Jun. 30, 2026
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,
2026202520262025
Patient service revenues97.3 %97.3 %97.5 %97.5 %
Other service revenues2.7 %2.7 %2.5 %2.5 %
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,
20262025
Amount%Amount%
Patient service revenues:
Private insurance$401.4 48.6 %$419.3 52.1 %
Government380.6 46.1 %345.1 42.9 %
Self-pay23.5 2.8 %21.9 2.7 %
Other (1)
20.6 2.5 %17.9 2.3 %
Total patient service revenues826.1 100.0 %804.2 100.0 %
Other service revenues22.8 22.0 
Total revenues$848.9 $826.2 
Six Months Ended June 30,
20262025
Amount%Amount%
Patient service revenues:
Private insurance$800.3 49.5 %$813.2 52.0 %
Government738.1 45.6 %673.6 43.1 %
Self-pay42.7 2.6 %42.0 2.7 %
Other (1)
37.1 2.3 %33.8 2.2 %
Total patient service revenues1,618.2 100.0 %1,562.6 100.0 %
Other service revenues41.6 39.6 
Total revenues$1,659.8 $1,602.2 
(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, 2026 is as follows (in millions):
Balance as of December 31, 2025$5,194.6 
Acquisitions, including post acquisition adjustments9.7 
Disposals(0.8)
Balance as of June 30, 2026$5,203.5 
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,
20262025
Balance at beginning of period$395.5 $438.8 
Net income attributable to non-controlling interests—redeemable0.9 9.0 
Acquisition and disposal of shares of non-controlling interests, net—redeemable(9.2)(2.0)
Distributions to non-controlling interest —redeemable holders(20.5)(23.4)
Balance at end of period$366.7 $422.4 
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
June 30,
2026		December 31,
2025		June 30,
2026		December 31,
2025
Senior secured term loan$1,367.6 $1,374.4 $1,371.0 $1,379.6 
7.250% senior unsecured notes due 2032
$1,225.0 $1,225.0 $1,240.3 $1,237.3