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Intangible Assets, Goodwill and Other (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Aug. 31, 2019
Jan. 05, 2019
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Business Acquisition [Line Items]              
Deferred payments and contingent consideration related to business combinations         $ 4.1 $ 130.9  
Goodwill     $ 336.3   336.3   $ 307.2
Amortization of intangible assets     12.6 $ 10.7 37.3 31.2  
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         (2.0)    
Payment of contingent liability         42.0 8.5  
Net additional expense         7.6 $ 4.1  
Schölly              
Business Acquisition [Line Items]              
Total purchase consideration $ 101.4            
Cash payments 34.4            
Deferred cash payments 67.0   $ 34.6   $ 34.6    
Net tangible assets acquired 11.5            
Inventory 6.7            
Cash 1.4            
Intangible assets acquired 31.0            
Goodwill $ 58.9            
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