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Basis of Presentation - Net Operating Revenues (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Disaggregation of Revenue [Line Items]    
Net operating revenues $ 1,455.4 $ 1,316.0
Medicare    
Disaggregation of Revenue [Line Items]    
Net operating revenues 975.5 854.1
Medicare Advantage    
Disaggregation of Revenue [Line Items]    
Net operating revenues 239.6 223.8
Managed care    
Disaggregation of Revenue [Line Items]    
Net operating revenues 145.7 142.8
Medicaid    
Disaggregation of Revenue [Line Items]    
Net operating revenues 42.0 44.8
Other third-party payors    
Disaggregation of Revenue [Line Items]    
Net operating revenues 8.3 9.5
Workers’ compensation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 6.0 7.0
Patients    
Disaggregation of Revenue [Line Items]    
Net operating revenues 3.1 3.9
Other income    
Disaggregation of Revenue [Line Items]    
Net operating revenues $ 35.2 $ 30.1