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Basis of Presentation and Significant Accounting Policies (Schedule of Net Operating Revenue) (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Health Care Organization, Receivable and Revenue Disclosures [Line Items]    
Net operating revenues $ 3,376.0 $ 3,689.0
Medicare [Member]    
Health Care Organization, Receivable and Revenue Disclosures [Line Items]    
Net operating revenues 889.0 1,033.0
Medicaid [Member]    
Health Care Organization, Receivable and Revenue Disclosures [Line Items]    
Net operating revenues 428.0 459.0
Managed Care And Other Third Party Payors [Member]    
Health Care Organization, Receivable and Revenue Disclosures [Line Items]    
Net operating revenues 2,025.0 2,117.0
Self-Pay [Member]    
Health Care Organization, Receivable and Revenue Disclosures [Line Items]    
Net operating revenues $ 34.0 $ 80.0