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Contingencies and Other Commitments - Textual (Details)
$ in Millions
1 Months Ended 12 Months Ended
May 18, 2016
USD ($)
Jul. 31, 2019
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Apr. 24, 2014
facilities
Mar. 04, 2013
facilities
Other Commitments [Abstract]            
2020     $ 61.4      
2021     41.7      
2022     15.1      
2023     10.8      
2024     6.9      
Thereafter     7.1      
Settled Litigation | HHS-OIG Investigation            
Loss Contingencies [Line Items]            
Litigation settlement, amount awarded to other party     $ 48.0      
Pending Litigation | Honts lawsuit            
Loss Contingencies [Line Items]            
Loss contingency, damages awarded, value $ 20.0          
Malpractice insurance, maximum coverage per incident       $ 6.0    
Pending Litigation | HHS-OIG Investigation            
Loss Contingencies [Line Items]            
Number of hospitals that received subpoenas | facilities         7 4
Compliance threshold under health care act (percent)     60.00%      
Liability recorded       $ 48.0    
Maximum | Settled Litigation | Nichols Litigation            
Loss Contingencies [Line Items]            
Loss contingency accrual, payments   $ 0.1