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Basis of Presentation - Net Operating Revenues (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Disaggregation of Revenue [Line Items]
Net operating revenues	$ 1,351.0	$ 1,206.9	$ 3,968.2	$ 3,554.4
Medicare
Disaggregation of Revenue [Line Items]
Net operating revenues	883.3	786.5	2,573.9	2,306.1
Medicare Advantage
Disaggregation of Revenue [Line Items]
Net operating revenues	220.9	191.7	671.4	576.6
Managed care
Disaggregation of Revenue [Line Items]
Net operating revenues	148.1	135.4	430.8	396.4
Medicaid
Disaggregation of Revenue [Line Items]
Net operating revenues	46.1	49.2	134.4	145.6
Other third-party payors
Disaggregation of Revenue [Line Items]
Net operating revenues	10.0	10.6	30.8	32.2
Workers’ compensation
Disaggregation of Revenue [Line Items]
Net operating revenues	7.0	6.6	21.0	19.6
Patients
Disaggregation of Revenue [Line Items]
Net operating revenues	4.1	3.8	11.8	10.4
Other income
Disaggregation of Revenue [Line Items]
Net operating revenues	$ 31.5	$ 23.1	$ 94.1	$ 67.5

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