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Acquisitions, Disposals and Deconsolidations - Acquisitions (Details) $ in Millions | 12 Months Ended
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Dec. 31, 2023 USD ($) facility physician_practice | Dec. 31, 2022 USD ($) facility | Dec. 31, 2021 USD ($) facility physician_practice
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 80.0 | $ 146.4 | $ 285.8
Goodwill | $ 4,326.0 | $ 4,137.1 | $ 3,911.8
Equity Method Investments |  |  |
Business Acquisition [Line Items] |  |  |
Number of non-controlling interests in surgical facilities acquired | facility | 5 | 7 |
Number of non-controlling interests in in-development de novo surgical facilities acquired | facility | 2 | 7 |
Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility | 5 | 7 | 8
Total cash consideration, net of cash acquired |  | $ 146.4 |
Noncash consideration |  | 5.6 |
Recognized non-controlling interests |  | 89.1 |
Goodwill |  | 271.7 |
Liabilities assumed in acquisition |  | $ 39.4 |
Physician Practices |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | physician_practice | 4 |  | 2
Six Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility | 6 |  |
Total cash consideration, net of cash acquired | $ 24.3 |  |
Recognized non-controlling interests | 84.5 |  |
Goodwill | 142.5 |  |
Non-controlling interest, fair value | 38.7 |  |
Net loss on fair value of non-controlling interest | 9.3 |  |
Surgical Facilities, Existing Markets |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility |  | 2 | 2
Surgical Facilities and Physician Practices |  |  |
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | 55.5 |  | $ 285.8
Noncash consideration | 1.3 |  |
Recognized non-controlling interests | 38.7 |  | 185.9
Goodwill | 84.7 |  | $ 446.1
Surgical Facilities and In-Development De Novo Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | 50.3 | $ 95.1 |
Surgical Facilities and In-Development De Novo Surgical Facilities | Management Rights Agreement |  |  |
Business Acquisition [Line Items] |  |  |
Intangible assets acquired | $ 21.0 |  |

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