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Acquisitions and Disposals - Acquisitions (Details) $ in Millions | 12 Months Ended
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Dec. 31, 2021 USD ($) surgical_facility physician_practice | Dec. 31, 2020 USD ($) surgical_facility | Dec. 31, 2019 USD ($)
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 285.8 | $ 104.6 | $ 13.8
Surgical Facility and Physician Practice |  |  |
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 285.8 | 104.6 |
Noncash consideration |  | (8.7) |
Contingent consideration |  | $ 0.7 |
Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | surgical_facility | 8 | 3 |
Physician Practices |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | physician_practice | 2 |  |
Surgical Facilities, Existing Markets |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | surgical_facility | 2 | 5 |

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