XML 70 R54.htm IDEA: XBRL DOCUMENT v3.22.4
Business Combinations - Fair Value of Assets and Liabilities Assumed (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Business Acquisition [Line Items]        
Goodwill $ 1,263.2 $ 1,237.0 $ 1,228.2 $ 1,218.9
Altru Health System, Trinity Medical Center And NCH Healthcare System        
Business Acquisition [Line Items]        
Goodwill 26.2      
Total assets acquired 27.1      
Shannon Medical, Heritage Valley & ECHD Ventures        
Business Acquisition [Line Items]        
Goodwill   8.8    
Other long-term assets   0.1    
Total assets acquired   10.2    
Portercare Adventist and Premier Health Partners        
Business Acquisition [Line Items]        
Goodwill     9.3  
Total assets acquired     10.9  
Noncompete agreements | Altru Health System, Trinity Medical Center And NCH Healthcare System        
Business Acquisition [Line Items]        
Identifiable intangible assets $ 0.9      
Noncompete agreements | Shannon Medical, Heritage Valley & ECHD Ventures        
Business Acquisition [Line Items]        
Identifiable intangible assets   1.0    
Noncompete agreements | Portercare Adventist and Premier Health Partners        
Business Acquisition [Line Items]        
Identifiable intangible assets     0.7  
Trade Names | Shannon Medical, Heritage Valley & ECHD Ventures        
Business Acquisition [Line Items]        
Identifiable intangible assets   $ 0.3    
Finite-lived intangible asset useful life   20 years    
Trade Names | Portercare Adventist and Premier Health Partners        
Business Acquisition [Line Items]        
Identifiable intangible assets     $ 0.9  
Finite-lived intangible asset useful life     20 years  
Minimum | Noncompete agreements | Altru Health System, Trinity Medical Center And NCH Healthcare System        
Business Acquisition [Line Items]        
Finite-lived intangible asset useful life 2 years      
Minimum | Noncompete agreements | Shannon Medical, Heritage Valley & ECHD Ventures        
Business Acquisition [Line Items]        
Finite-lived intangible asset useful life   3 years    
Minimum | Noncompete agreements | Portercare Adventist and Premier Health Partners        
Business Acquisition [Line Items]        
Finite-lived intangible asset useful life     2 years  
Maximum | Noncompete agreements | Altru Health System, Trinity Medical Center And NCH Healthcare System        
Business Acquisition [Line Items]        
Finite-lived intangible asset useful life 3 years      
Maximum | Noncompete agreements | Shannon Medical, Heritage Valley & ECHD Ventures        
Business Acquisition [Line Items]        
Finite-lived intangible asset useful life   5 years    
Maximum | Noncompete agreements | Portercare Adventist and Premier Health Partners        
Business Acquisition [Line Items]        
Finite-lived intangible asset useful life     3 years