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Summary of Significant Accounting Policies (Tables)
 12 Months Ended
Dec. 31, 2024
Accounting Policies [Abstract]  
Schedule of Concentration of Net Operating Revenues by Payor
Our Net operating revenues disaggregated by payor source are as follows (in millions):
Year Ended December 31,
202420232022
Medicare$3,495.3 $3,126.1 $2,843.1 
Medicare Advantage
903.7 776.1 654.6 
Managed care
579.2 531.4 505.2 
Medicaid179.4 190.7 183.3 
Other third-party payors41.7 41.8 39.5 
Workers’ compensation27.8 25.8 24.7 
Patients15.9 14.9 16.6 
Other income130.2 94.4 81.6 
Total$5,373.2 $4,801.2 $4,348.6 
Schedule of Concentration of Net Operating Revenues and Net Patient Service Accounts Receivable by Payor and Payor Class The concentration of patient service accounts receivable by payor class, as a percentage of total patient service accounts receivable, is as follows:
 As of December 31,
 20242023
Medicare55.5 %57.6 %
Managed care and other discount plans, including Medicare Advantage34.3 %32.3 %
Medicaid4.0 %4.0 %
Other third-party payors2.8 %2.7 %
Workers' compensation2.6 %2.5 %
Patients0.8 %0.9 %
Total100.0 %100.0 %
Schedule of Useful Lives of Property and Equipment Useful lives are generally as follows:
 Years
Buildings
10 to 30
Leasehold improvements
2 to 15
Vehicles
5
Furniture, fixtures, and equipment
3 to 10
Property and equipment consists of the following (in millions):
 As of December 31,
 20242023
Land$302.6 $294.0 
Buildings3,859.3 3,402.8 
Leasehold improvements372.8 316.8 
Vehicles5.6 5.3 
Furniture, fixtures, and equipment808.8 723.3 
 5,349.1 4,742.2 
Less: Accumulated depreciation and amortization(2,111.9)(1,872.2)
 3,237.2 2,870.0 
Construction in progress405.9 431.0 
Property and equipment, net$3,643.1 $3,301.0 
Schedule of Estimated Useful Lives and Amortization Basis of Other Finite-lived Intangible Assets
The range of estimated useful lives and the amortization basis for our intangible assets, excluding goodwill, are generally as follows:
 Estimated Useful Life
and Amortization Basis
Certificates of need
10 to 30 years using straight-line basis
Licenses
10 to 20 years using straight-line basis
Noncompete agreements
1 to 18 years using straight-line basis
Trade names:
Encompassindefinite-lived asset
All other
10 to 20 years using straight-line basis
Internal-use software
3 to 7 years using straight-line basis
Market access assets
20 years using accelerated basis
The following table provides information regarding our other intangible assets (in millions):
 Gross Carrying AmountAccumulated AmortizationNet
Certificates of need:   
2024$131.4 $(49.0)$82.4 
2023120.9 (43.1)77.8 
Licenses:   
2024$65.7 $(56.4)$9.3 
202365.7 (55.4)10.3 
Noncompete agreements:   
2024$66.5 $(63.4)$3.1 
202366.7 (62.0)4.7 
Trade name - Encompass:
2024$135.2 $— $135.2 
2023135.2 — 135.2 
Trade names - all other:   
2024$39.6 $(23.6)$16.0 
202339.3 (22.2)17.1 
Internal-use software:   
2024$214.4 $(163.3)$51.1 
2023198.6 (166.4)32.2 
Market access assets:
2024$13.2 $(12.5)$0.7 
202313.2 (12.3)0.9 
Total intangible assets:   
2024$666.0 $(368.2)$297.8 
2023639.6 (361.4)278.2 
Schedule of Estimated Basis of Other Indefinite-lived Intangible Assets
The range of estimated useful lives and the amortization basis for our intangible assets, excluding goodwill, are generally as follows:
 Estimated Useful Life
and Amortization Basis
Certificates of need
10 to 30 years using straight-line basis
Licenses
10 to 20 years using straight-line basis
Noncompete agreements
1 to 18 years using straight-line basis
Trade names:
Encompassindefinite-lived asset
All other
10 to 20 years using straight-line basis
Internal-use software
3 to 7 years using straight-line basis
Market access assets
20 years using accelerated basis