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Segment Reporting Segment Reporting - Reconciliation of Adjusted EBITDA (Details) - USD ($) $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2016	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
General and administrative expenses									$ (133.4)	$ (133.3)	$ (124.8)
Depreciation and amortization									(172.6)	(139.7)	(107.7)
Government, class action, and related settlements									0.0	(7.5)	1.7
Professional fees - accounting, tax, and legal									(1.9)	(3.0)	(9.3)
Loss on early extinguishment of debt									(7.4)	(22.4)	(13.2)
Gain on consolidation of former equity method hospital									0.0	0.0	27.2
Net income attributable to noncontrolling interests	$ 16.8	$ 16.4	$ 18.6	$ 18.7	$ 18.8	$ 17.1	$ 17.3	$ 16.5	70.5	69.7	59.7
Income from continuing operations before income tax expense									482.0	395.6	386.9
Inpatient Rehabilitation Hospital and Home Health and Hospice [Member]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Total segment Adjusted EBITDA									899.6	774.1	669.2
Segment Reconciling Items [Member]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
General and administrative expenses									(133.4)	(133.3)	(124.8)
Depreciation and amortization									(172.6)	(139.7)	(107.7)
Loss on disposal or impairment of assets									(0.7)	(2.6)	(6.7)
Government, class action, and related settlements									0.0	(7.5)	1.7
Professional fees - accounting, tax, and legal									(1.9)	(3.0)	(9.3)
Loss on early extinguishment of debt									(7.4)	(22.4)	(13.2)
Interest expense and amortization of debt discounts and fees									(172.1)	(142.9)	(109.2)
Gain on consolidation of former equity method hospital									0.0	0.0	27.2
Net income attributable to noncontrolling interests									70.5	69.7	59.7
Gain related to SCA equity interest									$ 0.0	$ 3.2	$ 0.0

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Adjusted earnings before interest, taxes, depreciation, and amortization as defined in the Company's credit agreement.

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The aggregate expense recognized in the current period that allocates the cost of tangible assets, intangible assets, or depleting assets to periods that benefit from use of the assets.

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Difference between the fair value of payments made and the carrying amount of debt which is extinguished prior to maturity.

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The aggregate total of expenses of managing and administering the affairs of an entity, including affiliates of the reporting entity, which are not directly or indirectly associated with the manufacture, sale or creation of a product or product line.

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Amount of income (loss) from continuing operations, including income (loss) from equity method investments, before deduction of income tax expense (benefit), and income (loss) attributable to noncontrolling interest.

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Amount of the cost of borrowed funds accounted for as interest expense for debt.

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A fee charged for services from professionals such as doctors, lawyers and accountants. The term is often expanded to include other professions, for example, pharmacists charging to maintain a medicinal profile of a client or customer.

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