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Basis of Presentation - Net Operating Revenues (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
Disaggregation of Revenue [Line Items]
Net operating revenues	$ 1,477.5	$ 1,351.0	$ 4,390.6	$ 3,968.2
Medicare
Disaggregation of Revenue [Line Items]
Net operating revenues	946.1	883.3	2,862.1	2,573.9
Medicare Advantage
Disaggregation of Revenue [Line Items]
Net operating revenues	245.7	220.9	731.1	671.4
Managed care
Disaggregation of Revenue [Line Items]
Net operating revenues	164.6	148.1	473.0	430.8
Medicaid
Disaggregation of Revenue [Line Items]
Net operating revenues	50.0	46.1	136.9	134.4
Other third-party payors
Disaggregation of Revenue [Line Items]
Net operating revenues	9.8	10.0	28.4	30.8
Workers’ compensation
Disaggregation of Revenue [Line Items]
Net operating revenues	8.5	7.0	22.0	21.0
Patients
Disaggregation of Revenue [Line Items]
Net operating revenues	4.9	4.1	12.6	11.8
Other income
Disaggregation of Revenue [Line Items]
Net operating revenues	$ 47.9	$ 31.5	$ 124.5	$ 94.1

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