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Acquisitions, Disposals and Deconsolidations - Acquisitions (Details) $ in Millions | 9 Months Ended |
--- | --- | ---
Sep. 30, 2024 USD ($) surgical_facility | Sep. 30, 2023 USD ($) | Sep. 30, 2023 USD ($) surgical_facility | Sep. 30, 2023 USD ($) physician_practice | Sep. 30, 2023 USD ($) de_novo_surgical_facility | Dec. 31, 2023 USD ($)
Business Acquisition [Line Items] |  |  |  |  |  |
Total cash consideration, net of cash acquired | $ 291.2 | $ 48.8 |  |  |  |
Goodwill | $ 4,815.4 |  |  |  |  | $ 4,326.0
Equity Method Investments |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of non-controlling interests in in-development de novo surgical facilities acquired |  |  | 5 |  | 2 |
Surgical Facilities and Anesthesia Practice |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of business entities acquired | surgical_facility | 6 |  |  |  |  |
Total cash consideration, net of cash acquired | $ 291.2 |  |  |  |  |
Noncash consideration | 1.1 |  |  |  |  |
Recognized non-controlling interests | 293.2 |  |  |  |  |
Goodwill | 506.7 |  |  |  |  |
Investments and advances to affiliates | $ 44.6 |  |  |  |  |
Surgical Facilities and Physician Practices |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of business entities acquired |  |  | 2 | 1 |  |
Total cash consideration, net of cash acquired |  | 23.1 |  |  |  |
Noncash consideration |  | 1.3 |  |  |  |
Recognized non-controlling interests |  | 20.4 | $ 20.4 | $ 20.4 | $ 20.4 |
Goodwill |  | 39.7 | $ 39.7 | 39.7 | $ 39.7 |
Surgical Facilities And In-Development De Novo Surgical Facility |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of business entities acquired |  |  | 2 |  | 1 |
Total cash consideration, net of cash acquired |  | 26.9 |  |  |  |
Recognized non-controlling interests |  | 55.1 | $ 55.1 | 55.1 | $ 55.1 |
Goodwill |  | 106.3 | 106.3 | 106.3 | 106.3 |
Non-controlling interest, fair value |  | 27.3 |  |  |  |
Net loss on fair value of non-controlling interest |  | 7.1 |  |  |  |
Surgical Facilities and In-Development De Novo Surgical Facilities |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Total cash consideration, net of cash acquired |  | 50.2 |  |  |  |
Surgical Facilities and In-Development De Novo Surgical Facilities | Management Rights Agreement |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Intangible assets acquired |  | $ 21.0 | $ 21.0 | $ 21.0 | $ 21.0 |
Surgical Facilities and In-Development De Novo Surgical Facilities | Equity Method Investments | Management Rights Agreement |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of non-controlling interests in surgical facilities acquired | surgical_facility |  |  | 4 |  |  |

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