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Acquisitions and Disposals - Acquisitions (Details) $ in Millions	12 Months Ended
	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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