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Organization and Summary of Accounting Policies - Narrative (Details) $ in Millions | 12 Months Ended
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Dec. 31, 2023 USD ($) state facility | Dec. 31, 2022 USD ($) integer | Dec. 31, 2021 USD ($)
Product Information [Line Items] |  |  |
Number of surgical facilities owned | facility | 162 |  |
Number of states in which entity operates | state | 33 |  |
Number of surgical facilities owned, majority interest | facility | 90 |  |
Number of surgical facilities owned, consolidated | facility | 123 |  |
Revenues | $ 2,743.3 | $ 2,539.3 | $ 2,225.1
Other current assets | 96.5 | 79.0 |
Other long-term assets | 103.3 | 144.2 |
Other current liabilities | 204.1 | 210.1 |
Other long-term liabilities | 41.1 | $ 75.4 |
Number of deconsolidations | integer |  | 2 |
Third-Party Payors, Supplemental Reimbursement Programs |  |  |
Product Information [Line Items] |  |  |
Other current assets | 17.2 |  |
Other long-term assets | 17.2 |  |
Other current liabilities | 5.2 |  |
Other long-term liabilities | 5.2 |  |
2021 Cost Report | Idaho |  |  |
Product Information [Line Items] |  |  |
Revenues | 17.2 |  |
Provider taxes | 3.1 |  |
2023 and 2022 Cost Report |  |  |
Product Information [Line Items] |  |  |
Revenues | 34.4 |  |
Provider taxes | $ 10.4 |  |
Facilities, Ambulatory Surgery Centers |  |  |
Product Information [Line Items] |  |  |
Number of surgical facilities owned | facility | 144 |  |
Facilities, Surgical Hospitals |  |  |
Product Information [Line Items] |  |  |
Number of surgical facilities owned | facility | 18 |  |

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