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Acquisitions, Disposals and Deconsolidations - Disposals and Deconsolidations (Details) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2023 USD ($) facility | Dec. 31, 2022 USD ($) facility business_entity | Dec. 31, 2021 USD ($) facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Proceeds from disposals of facilities and other assets | $ 25.8 | $ 12.9 | $ 6.0
Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal, Statement of Income or Comprehensive Income [Extensible Enumeration] | Gain (Loss) On Disposition Of Assets And Deconsolidation |  |
Four Surgical Facilities | Disposed of by Sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of interests sold | facility | 6 |  |
Proceeds from disposals of facilities and other assets | $ 30.4 |  |
Pre-tax gain (loss) on disposal | 26.9 |  |
Surgical Facilities and In-Development De Novo Surgical Facilities | 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 | 1.5 |  |
Pre-tax gain (loss) on disposal | $ (13.7) |  |
2022 Disposals |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Pre-tax gain (loss) on disposal |  | $ (5.6) |
2022 Disposals | Disposed of by Sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of interests sold | facility |  | 2 |
Proceeds from disposals of facilities and other assets |  | $ 25.7 |
Pre-tax gain (loss) on disposal |  | $ (4.5) |
Number of surgical facilities contributed as non-cash consideration | facility |  | 2 |
Fair value of investments |  | $ 9.8 |
2022 Disposals | Disposed of by Sale | Series of Individually Immaterial Business Acquisitions |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of business entities 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] |  |  |
Number of interests sold | facility |  |  | 3
Proceeds from disposals of facilities and other assets |  |  | $ 6.0
Pre-tax gain (loss) on disposal |  |  | $ 4.0

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