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Acquisitions and Disposals - Disposals and Deconsolidations (Details) $ in Millions	3 Months Ended
	Mar. 31, 2022 USD ($) surgical_facility	Mar. 31, 2021 USD ($) business_entity
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Proceeds from disposals of facilities and other assets	$ 0.0	$ 2.3
Fair value of investments	9.8
Series of Individually Immaterial Business Acquisitions
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of businesses acquired | business_entity		2
Disposal Group One | Disposed of by Sale
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Proceeds from disposals of facilities and other assets	11.5
Pre-tax loss on disposals and deconsolidations	$ 5.6	$ 0.4
Number of surgical facilities contributed as non-cash consideration | surgical_facility	2

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Value of the investment at close of period. For schedules of investments that are categorized, the value would be aggregated by category. For investment in and advances to affiliates, if operations of any controlled companies are different in character from those of the company, group such affiliates within divisions and by type of activities.

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