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Acquisitions, Disposals and Deconsolidations - Acquisitions (Details) $ in Millions | 12 Months Ended
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Dec. 31, 2024 USD ($) surgical_facility | Dec. 31, 2023 USD ($) | Dec. 31, 2023 USD ($) surgical_facility | Dec. 31, 2023 USD ($) physician_practice | Dec. 31, 2023 USD ($) de_novo_surgical_facility | Dec. 31, 2022 USD ($) | Dec. 31, 2022 USD ($) surgical_facility | Dec. 31, 2022 USD ($) de_novo_surgical_facility
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Total cash consideration, net of cash acquired | $ 378.8 | $ 80.0 |  |  |  | $ 146.4 |  |
Goodwill | $ 5,068.0 | 4,326.0 | $ 4,326.0 | $ 4,326.0 | $ 4,326.0 | 4,137.1 | $ 4,137.1 | $ 4,137.1
Equity Method Investments |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of non-controlling interests in in-development de novo surgical facilities acquired |  |  | 5 |  | 2 |  | 7 | 7
Surgical Facilities and Anesthesia Practice |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of business entities acquired | surgical_facility | 8 |  |  |  |  |  |  |
Total cash consideration, net of cash acquired | $ 378.8 |  |  |  |  |  |  |
Noncash consideration | 1.1 |  |  |  |  |  |  |
Recognized non-controlling interests | 478.9 |  |  |  |  |  |  |
Goodwill | 767.7 |  |  |  |  |  |  |
Investments and advances to affiliates | $ 44.6 |  |  |  |  |  |  |
Surgical Facilities, Physician Practices, And In-Development Denovo Surgical Facility |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of business entities acquired |  |  | 5 | 4 |  |  |  |
Total cash consideration, net of cash acquired |  | 55.5 |  |  |  |  |  |
Noncash consideration |  | 1.3 |  |  |  |  |  |
Recognized non-controlling interests |  | 38.7 | $ 38.7 | $ 38.7 | $ 38.7 |  |  |
Goodwill |  | 84.7 | $ 84.7 | 84.7 | 84.7 |  |  |
Surgical Facilities And In-Development De Novo Surgical Facility |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of business entities acquired | surgical_facility |  |  | 6 |  |  |  |  |
Total cash consideration, net of cash acquired |  | 24.3 |  |  |  |  |  |
Recognized non-controlling interests |  | 84.5 | $ 84.5 | 84.5 | 84.5 |  |  |
Goodwill |  | 142.5 | 142.5 | 142.5 | 142.5 |  |  |
Non-controlling interest, fair value |  | 38.7 |  |  |  |  |  |
Net loss on fair value of non-controlling interest |  | 9.3 |  |  |  |  |  |
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 | $ 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 |  |  |  |  |
Surgical Facilities Existing Markets |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of business entities acquired | surgical_facility |  |  |  |  |  |  | 2 |
Surgical Facilities |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of business entities acquired | surgical_facility |  |  |  |  |  |  | 7 |
Total cash consideration, net of cash acquired |  |  |  |  |  | 146.4 |  |
Noncash consideration |  |  |  |  |  | 5.6 |  |
Recognized non-controlling interests |  |  |  |  |  | 89.1 | $ 89.1 | $ 89.1
Goodwill |  |  |  |  |  | 271.7 | $ 271.7 | $ 271.7
Business combination, consideration transferred, liabilities incurred |  |  |  |  |  | $ 39.4 |  |

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