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COVID-19 Pandemic (Details) - USD ($) $ in Millions |  | 1 Months Ended | 12 Months Ended
--- | --- | --- | ---
Jul. 01, 2021 | Dec. 31, 2022 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Revenue from government grants |  |  | $ 10.0 | $ 1.7 | $ 5.9
CARES Act |  |  |  |  |
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Proceeds from recoupment of accelerated/advanced payments |  |  | 3.1 | 20.8 |
Employer portion of payroll taxes delayed |  |  |  |  | 72.7
Payment of payroll taxes |  | $ 31.6 |  | 31.6 |
Employee Retention Credit, Amount Recognized |  |  | 9.4 | 9.9 |
Employee retention credit, amount received |  |  | 4.6 |  |
CARES Act | Prepaid Expenses and Other Current Assets |  |  |  |  |
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Employee retention credit, amount received |  |  | 14.7 | 6.5 |
CARES Act | Accelerated and Advance Payment Program |  |  |  |  |
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Amount received from Accelerated and Advance Payment Program |  |  |  |  | 87.5
Loans Insured or Guaranteed by US Government Authorities | CARES Act |  |  |  |  |
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Relief received from Provider Relief Fund |  |  | $ 61.1 | $ 0.8 | 109.8
Health Care Services | CARES Act | Accelerated and Advance Payment Program |  |  |  |  |
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Amount received from Accelerated and Advance Payment Program |  |  |  |  | 75.2
CCRC Venture | CARES Act | Accelerated and Advance Payment Program |  |  |  |  |
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Amount received from Accelerated and Advance Payment Program |  |  |  |  | $ 12.3
Securities Purchase Agreement | HCA Healthcare, Inc. | Health Care Services |  |  |  |  |
Unusual or Infrequent Item, or Both [Line Items] |  |  |  |  |
Percentage of ownership sold in transaction | 80.00% |  |  |  |
Medicare advance payments | $ 63.6 |  |  |  |
Employer portion of payroll taxes delayed | $ 9.6 |  |  |  |

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