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Acquisitions and Disposals - Assets Acquired and Liabilities Assumed (Details) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Net assets acquired:      
Goodwill $ 3,911.8 $ 3,468.0 $ 3,402.4
Surgical Facility and Physician Practice      
Business Acquisition [Line Items]      
Total consideration 290.0 120.1  
Fair value of non-controlling interests 185.9 57.3  
Aggregate acquisition date fair value 475.9 177.4  
Net assets acquired:      
Current Assets 36.9 24.3  
Property and equipment 27.1 50.6  
Intangible assets 0.0 3.6  
Goodwill 446.1 153.7  
Right-of-use operating lease assets 17.1 15.4  
Other long-term assets 4.6 0.2  
Current liabilities (15.9) (16.4)  
Long-term debt (20.5) (40.0)  
Right-of-use operating lease liabilities (15.1) (14.0)  
Long-term liabilities (4.4) 0.0  
Aggregate acquisition date fair value $ 475.9 $ 177.4