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Intangible Assets, Goodwill and Other (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Aug. 31, 2019
Jan. 05, 2019
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Business Acquisition [Line Items]              
Deferred payments and contingent consideration related to business combinations         $ 4.1 $ 64.7  
Goodwill     $ 336.8   336.8   $ 307.2
Amortization of intangible assets     12.4 $ 10.6 24.7 20.5  
Chindex              
Business Acquisition [Line Items]              
Total purchase consideration   $ 66.0          
Deferred payments and contingent consideration related to business combinations   64.7          
Cash payments   1.3          
Estimated total undiscounted contingent consideration   $ 81.0          
Decrease in undiscounted expected contingent liability         (6.0)    
Payment of contingent liability         27.3 2.0  
Net additional expense         3.0 $ 7.1  
Schölly              
Business Acquisition [Line Items]              
Total purchase consideration $ 101.4            
Cash payments 34.4            
Deferred cash payments 67.0   $ 37.7   $ 37.7    
Net tangible assets acquired 10.7            
Inventory 6.7            
Cash 1.4            
Intangible assets acquired 31.0            
Goodwill $ 59.7            
Weighted average useful life 6 years 7 months 6 days            
Schölly | Manufacturing process technology              
Business Acquisition [Line Items]              
Finite-lived Intangible Assets Acquired $ 28.0            
Schölly | Non-compete provisions              
Business Acquisition [Line Items]              
Finite-lived Intangible Assets Acquired $ 3.0