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Acquisitions and Disposals - Acquisitions (Details)
$ in Millions
 1 Months Ended 9 Months Ended
Sep. 30, 2022
USD ($)
Sep. 30, 2022
USD ($)
facility
Sep. 30, 2021
USD ($)
facility
Dec. 31, 2021
USD ($)
Business Acquisition [Line Items]        
Payments for acquisitions, net of cash acquired   $ 82.6 $ 101.0  
Deferred consideration, current $ 61.0 61.0   $ 0.0
Goodwill 4,145.3 4,145.3   $ 3,911.8
Surgical Hospital        
Business Acquisition [Line Items]        
Payments for acquisitions, net of cash acquired 64.3      
Liabilities assumed in acquisition 39.4      
Deferred consideration, current 61.0 61.0    
Recognized non-controlling interests 45.3 45.3    
Goodwill 146.3 146.3    
Surgical Facilities        
Business Acquisition [Line Items]        
Payments for acquisitions, net of cash acquired   79.3    
Recognized non-controlling interests 41.5 41.5 46.4  
Goodwill $ 121.1 $ 121.1 $ 145.8  
Number of facilities acquired | facility   4 4  
Noncash consideration   $ 5.3    
Surgical Facilities, Existing Markets        
Business Acquisition [Line Items]        
Number of facilities acquired | facility   2 2