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Acquisitions, Disposals and Deconsolidations - Acquisitions (Details) $ in Millions | 3 Months Ended |
--- | --- | ---
Mar. 31, 2024 USD ($) facility | Mar. 31, 2023 USD ($) facility physician_practice | Dec. 31, 2023 USD ($)
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 54.6 | $ 40.7 |
Goodwill and other intangible assets, net | $ 4,397.5 |  | $ 4,326.0
Equity Method Investments |  |  |
Business Acquisition [Line Items] |  |  |
Number of non-controlling interests in surgical facilities acquired | facility |  | 1 |
Number of non-controlling interests in in-development de novo surgical facilities acquired | facility |  | 1 |
Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility | 2 | 1 |
Surgical Facilities and Physician Practices |  |  |
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 66.0 | $ 16.2 |
Noncash consideration | 1.1 | 1.3 |
Current liabilities | 11.4 |  |
Recognized non-controlling interests | 21.2 | 12.0 |
Goodwill and other intangible assets, net | $ 77.2 | $ 25.7 |
Physician Practices |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | physician_practice |  | 1 |
Two Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Number of business entities acquired | facility |  | 2 |
Total cash consideration, net of cash acquired |  | $ 24.5 |
Recognized non-controlling interests |  | 34.2 |
Goodwill and other intangible assets, net |  | 65.6 |
Non-controlling interest, fair value |  | 8.3 |
Net loss on fair value of non-controlling interest |  | 2.9 |
Surgical Facilities and In-Development De Novo Surgical Facilities |  |  |
Business Acquisition [Line Items] |  |  |
Total cash consideration, net of cash acquired |  | $ 12.4 |

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