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Organization and Summary of Accounting Policies - Revenues by Sources (Details) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 3,114.3 | $ 2,743.3 | $ 2,539.3
Patient service revenues |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 3,054.4 | $ 2,700.4 | $ 2,502.1
Patient service revenues | Customer | Revenue |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Revenue by service type as a proportion of total revenues (percent) | 100.00% | 100.00% | 100.00%
Private insurance |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 1,634.2 | $ 1,418.6 | $ 1,288.0
Private insurance | Customer | Revenue |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Revenue by service type as a proportion of total revenues (percent) | 53.50% | 52.50% | 51.50%
Government |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 1,256.8 | $ 1,128.1 | $ 1,059.2
Government | Customer | Revenue |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Revenue by service type as a proportion of total revenues (percent) | 41.10% | 41.80% | 42.30%
Self-pay |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 82.3 | $ 68.1 | $ 65.9
Self-pay | Customer | Revenue |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Revenue by service type as a proportion of total revenues (percent) | 2.70% | 2.50% | 2.60%
Other |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 81.1 | $ 85.6 | $ 89.0
Other | Customer | Revenue |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Revenue by service type as a proportion of total revenues (percent) | 2.70% | 3.20% | 3.60%
Other service revenues |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 59.9 | $ 42.9 | $ 37.2
Other service revenues | Related Party |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Total revenues | $ 17.4 | $ 18.4 | $ 15.7

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