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Goodwill and Intangible Assets - Narrative (Details) $ in Millions | 12 Months Ended
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Dec. 31, 2021 USD ($) reporting_unit | Dec. 31, 2020 USD ($) | Dec. 31, 2019 USD ($)
Finite-Lived Intangible Assets [Line Items] |  |  |
Number of reporting units | reporting_unit | 2 |  |
Goodwill impairment loss | $ 0.0 |  | $ 5.4
Amortization expense | 4.3 | $ 4.3 | 4.6
Surgical Facility | Disposed of by Sale |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Pre-tax loss on disposal | $ 2.8 |  |
Physician income guarantees | Minimum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful lives of intangible assets | 3 years |  |
Physician income guarantees | Maximum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful lives of intangible assets | 4 years |  |
Non-compete agreements | Minimum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful lives of intangible assets | 2 years |  |
Non-compete agreements | Maximum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful lives of intangible assets | 5 years |  |
Management rights agreements |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful lives of intangible assets | 15 years |  |
Customer relationships | Minimum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful lives of intangible assets | 3 years |  |
Customer relationships | Maximum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful lives of intangible assets | 10 years |  |
Ancillary Services |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Goodwill impairment loss |  | 28.6 |
Alliance |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Goodwill impairment loss |  | $ 4.9 | $ 2.5

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