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Acquisitions and Disposals - Acquisitions (Details) - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2021
Dec. 31, 2020
Net assets acquired:    
Goodwill $ 3,488.1 $ 3,468.0
Surgical Facilities, Existing Markets    
Business Acquisition [Line Items]    
Total consideration 15.4  
Fair value of non-controlling interests 7.5  
Aggregate acquisition date fair value 22.9  
Net assets acquired:    
Current assets 1.7  
Property and equipment 1.7  
Goodwill 20.0  
Right-of-use operating lease assets 2.1  
Current liabilities (0.6)  
Long-term debt (0.1)  
Right-of-use operating lease liabilities (1.9)  
Aggregate acquisition date fair value $ 22.9