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Acquisitions and Disposals - Disposals (Details) $ in Millions | 12 Months Ended
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Dec. 31, 2021 USD ($) | Dec. 31, 2021 surgery_center | Dec. 31, 2021 physician_practice | Dec. 31, 2020 USD ($) surgery_center | Dec. 31, 2019 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Proceeds from disposals of facilities and other assets | $ 6.0 |  |  | $ 58.5 | $ 17.6
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 |  | 3 | 1 | 3 |
Proceeds from disposals of facilities and other assets | 6.0 |  |  | $ 58.5 |
Pre-tax gain (loss) on disposal | $ 4.0 |  |  | 5.2 |
Diagnostic Laboratory |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Pre-tax gain (loss) on disposal |  |  |  | $ (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) on disposal |  |  |  |  | $ 10.9

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