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Segment Reporting - Table 1 (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Segment Reporting Information [Line Items]        
Net operating revenues $ 981.3 $ 920.7 $ 1,956.1 $ 1,830.5
Less: Provision for doubtful accounts     (30.1) (31.9)
Net operating revenues less provision for doubtful accounts 967.6 905.3 1,926.0 1,798.6
Costs and Expenses [Abstract]        
Salaries and benefits 527.8 486.1 1,057.9 972.2
Other operating expenses 130.5 121.5 259.6 240.7
Supplies 37.1 34.4 74.1 69.4
Occupancy costs 18.3 17.9 36.2 35.9
Total operating expenses 811.9 738.9 1,607.7 1,471.7
Other income (0.9) (0.7) (1.9) (1.3)
Equity in net income of nonconsolidated affiliates (2.0) (2.4) (4.1) (4.8)
Net income attributable to noncontrolling interests 16.4 18.6 34.0 37.3
Inpatient Rehabilitation Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 790.0 752.6 1,582.5 1,501.8
Less: Provision for doubtful accounts (12.4) (14.5) (27.1) (30.1)
Net operating revenues less provision for doubtful accounts 777.6 738.1 1,555.4 1,471.7
Costs and Expenses [Abstract]        
Salaries and benefits 394.3 366.1 792.5 736.0
Other operating expenses 112.9 106.8 224.7 211.6
Supplies 33.8 31.8 67.5 64.2
Occupancy costs 15.5 15.4 30.6 31.0
Total operating expenses 556.5 520.1 1,115.3 1,042.8
Other income (0.9) (0.7) (1.9) (1.3)
Equity in net income of nonconsolidated affiliates (1.8) (2.2) (3.7) (4.4)
Net income attributable to noncontrolling interests 15.4 16.8 31.9 33.6
Segment Adjusted EBITDA 208.4 204.1 413.8 401.0
Capital Expenditures 62.6 47.4 105.7 86.1
Home Health and Hospice Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 191.3 168.1 373.6 328.7
Less: Provision for doubtful accounts (1.3) (0.9) (3.0) (1.8)
Net operating revenues less provision for doubtful accounts 190.0 167.2 370.6 326.9
Costs and Expenses [Abstract]        
Cost of services sold (excluding depreciation and amortization) 88.7 81.6 177.7 160.0
Support and overhead costs 67.7 58.0 134.5 115.0
Total operating expenses 156.4 139.6 312.2 275.0
Other income 0.0 0.0 0.0 0.0
Equity in net income of nonconsolidated affiliates (0.2) (0.2) (0.4) (0.4)
Net income attributable to noncontrolling interests 1.0 1.8 2.1 3.7
Segment Adjusted EBITDA 32.8 26.0 56.7 48.6
Capital Expenditures $ 2.2 $ 1.9 $ 3.9 $ 2.4