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Acquisitions, Disposals and Deconsolidations - Disposals and Deconsolidations (Details) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2024 USD ($) surgical_facility | Jun. 30, 2023 USD ($) surgical_facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Proceeds from sales of equity investments | $ 4,000 | $ 0
Proceeds from disposals of facilities and other assets | $ 1,500 | $ 26,100
Surgical Facility, Equity Method Investment | Disposed of by Sale |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Number of interests sold | surgical_facility | 1 |
Proceeds from sales of equity investments | $ 2,000 |
Loss on sale of equity method investment | $ 3,700 |
Surgical Facility | Disposed of by Sale |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Number of interests sold | surgical_facility | 1 |
Proceeds from disposals of facilities and other assets | $ 2,500 |
Pre-tax gain (loss) on disposal | $ 2,700 |
2023 Disposals | Disposed of by Sale |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Number of interests sold | surgical_facility |  | 4
Proceeds from disposals of facilities and other assets |  | $ 30,400
Pre-tax gain (loss) on disposal |  | 26,700
Surgical Facilities and In-Development De Novo Surgical Facilities | Disposed of by Sale |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Proceeds from sales of equity investments |  | 1,500
Loss on sale of equity method investment |  | $ 13,700

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