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Organization and Summary of Accounting Policies - Revenues by Service Type (Details) - Revenue Source - Revenue
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Revenue from External Customer [Line Items]      
Revenue by service type as a proportion of total revenues (percent) 100.00% 100.00% 100.00%
Total patient service revenues      
Revenue from External Customer [Line Items]      
Revenue by service type as a proportion of total revenues (percent) 98.50% 98.70% 98.70%
Surgical Facility Services      
Revenue from External Customer [Line Items]      
Revenue by service type as a proportion of total revenues (percent) 95.80% 95.70% 95.30%
Ancillary services revenues      
Revenue from External Customer [Line Items]      
Revenue by service type as a proportion of total revenues (percent) 2.70% 3.00% 3.40%
Other service revenues      
Revenue from External Customer [Line Items]      
Revenue by service type as a proportion of total revenues (percent) 1.50% 1.30% 1.30%