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Acquisitions and Disposals - Disposals (Details)
$ in Millions
12 Months Ended
Dec. 31, 2020
USD ($)
surgery_center
Dec. 31, 2019
USD ($)
Dec. 31, 2018
optical_laboratory
Dec. 31, 2018
USD ($)
Dec. 31, 2018
surgery_center
Dec. 31, 2018
surgical_hospital
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Proceeds from disposals of facilities and other assets $ 58.5 $ 17.6   $ 19.2    
Surgery Centers, Certain Assets Related to Anesthesia Business, Certain Imaging ASsets and Optical Products Purchasing Organization            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of interests sold | surgery_center 3          
Proceeds from disposals of facilities and other assets $ 58.5          
Pre-tax gain (loss) 5.2          
Diagnostic Laboratory            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Pre-tax gain (loss) $ (3.5)          
Previously Owned Real Property Associated with Existing Non-Consolidated Surgical Facility            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Pre-tax gain (loss)   $ 10.9        
Surgery Centers, Surgical Hospitals, and Optical Laboratory            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of interests sold     1   4 2
Proceeds from disposals of facilities and other assets       18.7    
Pre-tax gain (loss)       $ (21.2)