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Organization and Summary of Accounting Policies - Variable Interest Entities (Details) $ in Millions	Jun. 30, 2021 USD ($)	Jun. 30, 2021 surgical_facility	Jun. 30, 2021 physician_practice	Dec. 31, 2020 USD ($)
Variable Interest Entity [Line Items]
Number of facilities included in VIE		3	2
Assets	$ 5,620.6			$ 5,413.2
Variable Interest Entity, Primary Beneficiary
Variable Interest Entity [Line Items]
Assets	26.2			27.7
Liabilities	$ 19.9			$ 21.1

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