Limited Liability Companies (Details) - Limited Liability Companies $ in Millions	Jun. 30, 2018 USD ($) item
Limited Liability Companies
Number of active LLCs in which the entity holds an interest \| item	4
Surgical Services
Limited Liability Companies
Total assets of LLCs \| $	$ 0.8

The carrying amount of the consolidated Variable Interest Entity's assets included in the reporting entity's statement of financial position.

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 810
-SubTopic 10
-Section 50
-Paragraph 3
-Subparagraph (bb)
-URI http://asc.fasb.org/extlink&oid=77990344&loc=d3e5710-111685

Name:	us-gaap_VariableInterestEntityConsolidatedCarryingAmountAssets
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	instant