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Subsequent Events (Details)		3 Months Ended
	Apr. 30, 2024 USD ($) physician_practice	Mar. 31, 2023 physician_practice	Apr. 10, 2024 USD ($)	Apr. 09, 2024 USD ($) interest_rate_swap	Mar. 31, 2024 USD ($) interest_rate_swap	Dec. 31, 2023 USD ($)
Subsequent Event [Line Items]
Current notional amount					$ 1,357,900,000	$ 1,360,100,000
Interest rate caps
Subsequent Event [Line Items]
Number of interest rate swaps held | interest_rate_swap					2
Current notional amount					$ 157,900,000
Physician Practices
Subsequent Event [Line Items]
Number of business entities acquired | physician_practice		1
Subsequent Event | Interest rate caps
Subsequent Event [Line Items]
Number of interest rate swaps held | interest_rate_swap				5
Current notional amount				$ 1,400,000,000
Subsequent Event | Physician Practices
Subsequent Event [Line Items]
Number of business entities acquired | physician_practice	2
Subsequent Event | Ambulatory Surgery Centers And Physician Practices
Subsequent Event [Line Items]
Total aggregate consideration	$ 188,200,000
Senior Notes | 6.750% senior unsecured notes due 2025
Subsequent Event [Line Items]
Stated interest rate (percent)					6.75%
Senior Notes | 10.000% senior unsecured notes due 2027
Subsequent Event [Line Items]
Stated interest rate (percent)					10.00%
Senior Notes | Subsequent Event | Senior Unsecured Notes Due 2032
Subsequent Event [Line Items]
Original balance of debt			$ 800,000,000
Stated interest rate (percent)			7.25%
Senior Notes | Subsequent Event | 6.750% senior unsecured notes due 2025
Subsequent Event [Line Items]
Stated interest rate (percent)			6.75%
Senior Notes | Subsequent Event | 10.000% senior unsecured notes due 2027
Subsequent Event [Line Items]
Stated interest rate (percent)			10.00%

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