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Organization and Summary of Accounting Policies - Variable Interest Entities (Details) $ in Millions	Sep. 30, 2021 surgical_facility	Sep. 30, 2021 physician_practice	Sep. 30, 2021 USD ($)	Dec. 31, 2020 USD ($)
Variable Interest Entity [Line Items]
Number of facilities included in VIE	4	3
Assets			$ 5,631.6	$ 5,413.2
Variable Interest Entity, Primary Beneficiary
Variable Interest Entity [Line Items]
Assets			26.7	27.7
Liabilities			$ 19.1	$ 21.1

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