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Basis of Presentation - Net Operating Revenues (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 1,206.9 $ 1,089.5 $ 3,554.4 $ 3,211.3
Medicare        
Disaggregation of Revenue [Line Items]        
Net operating revenues 786.5 711.2 2,306.1 2,091.7
Medicare Advantage        
Disaggregation of Revenue [Line Items]        
Net operating revenues 191.7 163.6 576.6 480.3
Managed care        
Disaggregation of Revenue [Line Items]        
Net operating revenues 135.4 126.1 396.4 381.0
Medicaid        
Disaggregation of Revenue [Line Items]        
Net operating revenues 49.2 47.7 145.6 137.0
Other third-party payors        
Disaggregation of Revenue [Line Items]        
Net operating revenues 10.6 9.5 32.2 29.0
Workers’ compensation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 6.6 6.9 19.6 18.9
Patients        
Disaggregation of Revenue [Line Items]        
Net operating revenues 3.8 3.5 10.4 12.8
Other income        
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 23.1 $ 21.0 $ 67.5 $ 60.6