Solve the following math problem efficiently and clearly:

- For simple problems (2 steps or fewer):
Provide a concise solution with minimal explanation.

- For complex problems (3 steps or more):
Use this step-by-step format:

## Step 1: [Concise description]
[Brief explanation and calculations]

## Step 2: [Concise description]
[Brief explanation and calculations]

...

Regardless of the approach, always conclude with:

Therefore, the final answer is: $oxed{answer}$. I hope it is correct.

Where [answer] is just the final number or expression that solves the problem.

Problem: For the ellipse shown below, find the distance between the foci.

[asy]
unitsize(0.3 cm);

int i, n = 10;

for (i = -n; i <= n; ++i) {
  draw((i,-n)--(i,n),gray(0.7));
  draw((-n,i)--(n,i),gray(0.7));
}

draw((0,-n)--(0,n));
draw((-n,0)--(n,0));

draw(shift((1,1))*xscale(2)*yscale(6)*Circle((0,0),1),red);

dot((1,1));
[/asy]
user