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Basis of Presentation - Net Operating Revenues (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 1,301.2 $ 1,187.1 $ 2,617.2 $ 2,347.5
Medicare        
Disaggregation of Revenue [Line Items]        
Net operating revenues 841.6 763.2 1,695.3 1,520.7
Medicare Advantage        
Disaggregation of Revenue [Line Items]        
Net operating revenues 224.2 198.1 448.4 384.5
Managed care        
Disaggregation of Revenue [Line Items]        
Net operating revenues 138.7 133.5 281.1 260.6
Medicaid        
Disaggregation of Revenue [Line Items]        
Net operating revenues 43.0 48.8 88.1 96.2
Other third-party payors        
Disaggregation of Revenue [Line Items]        
Net operating revenues 10.7 10.6 20.3 21.5
Workers’ compensation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 6.8 7.3 13.8 13.0
Patients        
Disaggregation of Revenue [Line Items]        
Net operating revenues 3.7 4.0 7.6 6.6
Other income        
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 32.5 $ 21.6 $ 62.6 $ 44.4