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