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Organization and Summary of Accounting Policies - Variable Interest Entities (Details)
$ in Millions
Mar. 31, 2020
Anesthesia_Practice
Mar. 31, 2020
surgical_facility
Mar. 31, 2020
physician_practice
Mar. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Variable Interest Entity [Line Items]          
Number of facilities included in VIE 3 4 3    
Assets       $ 5,090.9 $ 5,018.9
Variable Interest Entity, Primary Beneficiary, Aggregated Disclosure          
Variable Interest Entity [Line Items]          
Assets       34.2 36.2
Liabilities       $ 24.5 $ 25.2