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Basis of Presentation - Net Operating Revenues (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 1,089.5 $ 1,010.8 $ 3,211.3 $ 2,972.4
Medicare        
Disaggregation of Revenue [Line Items]        
Net operating revenues 711.2 649.3 2,091.7 1,914.3
Medicare Advantage        
Disaggregation of Revenue [Line Items]        
Net operating revenues 163.6 152.2 480.3 464.1
Managed care        
Disaggregation of Revenue [Line Items]        
Net operating revenues 126.1 123.1 381.0 350.3
Medicaid        
Disaggregation of Revenue [Line Items]        
Net operating revenues 47.7 41.9 137.0 122.7
Other third-party payors        
Disaggregation of Revenue [Line Items]        
Net operating revenues 9.5 10.6 29.0 33.7
Workers’ compensation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 6.9 5.7 18.9 16.7
Patients        
Disaggregation of Revenue [Line Items]        
Net operating revenues 3.5 4.9 12.8 14.2
Other income        
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 21.0 $ 23.1 $ 60.6 $ 56.4