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Acquisitions and Disposals - Acquisitions (Details) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2022 USD ($) facility | Dec. 31, 2021 USD ($) facility physician_practice | Dec. 31, 2020 USD ($)
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 146.4 | $ 285.8 | $ 104.6
Goodwill | $ 4,137.1 | $ 3,911.8 | $ 3,468.0
Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility | 7 | 8 |
Total cash consideration, net of cash acquired | $ 146.4 |  |
Noncash consideration | 5.6 |  |
Liabilities assumed in acquisition | 39.4 |  |
Recognized non-controlling interests | 89.1 |  |
Goodwill | $ 271.7 |  |
Surgical Facilities, Existing Markets |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility | 2 |  |
Physician Practices |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | physician_practice |  | 2 |
Surgical Facilities and Physician Practices |  |  |
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired |  | $ 285.8 |
Recognized non-controlling interests |  | 185.9 |
Goodwill |  | $ 446.1 |
In development De Novo Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility | 7 |  |
Surgical Facilities and In-Development De Novo Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 95.1 |  |

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