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Organization and Summary of Accounting Policies - Variable Interest Entities (Details)
$ in Millions
Jun. 30, 2024
USD ($)
Jun. 30, 2024
facility
Jun. 30, 2024
physician_practice
Jun. 30, 2024
anesthesia_practice
Dec. 31, 2023
USD ($)
Variable Interest Entity [Line Items]          
Number of facilities included in VIE   9 18 1  
Assets $ 7,488.6       $ 6,876.7
Variable Interest Entity, Primary Beneficiary          
Variable Interest Entity [Line Items]          
Assets 71.9       65.3
Liabilities $ 43.0       $ 41.2