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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