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Organization and Summary of Accounting Policies - Variable Interest Entities (Details)
$ in Millions
Dec. 31, 2020
USD ($)
Dec. 31, 2020
surgical_facility
Dec. 31, 2020
physician_practice
Dec. 31, 2019
USD ($)
Variable Interest Entity [Line Items]        
Number of facilities included in VIE   4 3  
Assets $ 5,413.2     $ 5,018.9
Variable Interest Entity, Primary Beneficiary        
Variable Interest Entity [Line Items]        
Assets 27.7     36.2
Liabilities $ 21.1     $ 25.2