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Business Combinations - Net Cash Paid for Acquisition (Details) - USD ($)
$ in Millions
1 Months Ended 12 Months Ended
Nov. 30, 2015
Nov. 30, 2015
Oct. 31, 2015
Apr. 30, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Business Acquisition [Line Items]                
Acquisitions         $ 45.4 $ 51.4 $ 806.1  
Goodwill         1,972.6 1,927.2 1,890.1 $ 1,084.0
Net cash paid for acquisition         38.8 48.1 985.1  
Home Health and Hospice Segment [Member]                
Business Acquisition [Line Items]                
Acquisitions         21.4 42.5 164.5  
Goodwill         806.6 785.2 757.0 592.5
Home Health and Hospice Segment [Member] | Celtic, Community, Bio Care, VNA, Ware, and Pickens County [Member]                
Business Acquisition [Line Items]                
Fair Value of Assets Acquired         6.8      
Acquisitions         21.4      
Goodwill         21.4      
Fair value of liabilities assumed         (0.3)      
Net cash paid for acquisition         27.9      
Noncash or Part Noncash Acquisition, Value of Liabilities Assumed         (0.3)      
Home Health and Hospice Segment [Member] | Series of individually immaterial business acquisitions [Member]                
Business Acquisition [Line Items]                
Fair value of assets acquired         7.1   10.4  
Goodwill         41.4 41.4 20.3  
Fair value of liabilities assumed         0.4 0.4 0.2  
Net cash paid for acquisition         48.1   30.5  
Home Health and Hospice Segment [Member] | CareSouth [Member]                
Business Acquisition [Line Items]                
Fair value of assets acquired $ 48.0 $ 48.0            
Goodwill 143.3 143.3            
Fair value of liabilities assumed (17.7) (17.7)            
Noncontrolling interests (4.3) (4.3)            
Net cash paid for acquisition $ 169.3              
Cash acquired in acquisition   $ 0.4            
Inpatient Rehabilitation Segment [Member]                
Business Acquisition [Line Items]                
Acquisitions         24.0 8.9 641.6  
Goodwill         1,166.0 1,142.0 1,133.1 $ 491.5
Inpatient Rehabilitation Segment [Member] | Gulfport, Mount Carmel, Jackson and Heritage Valley [Member]                
Business Acquisition [Line Items]                
Fair Value of Assets Acquired         11.0      
Acquisitions         24.0      
Business Combination, Acquisition Of Less Than 100 Percent Noncontrolling Interest, Fair Value Of Equity Interest         (24.1)      
Inpatient Rehabilitation Segment [Member] | Hot Springs, Bryan and Broken Arrow [Member]                
Business Acquisition [Line Items]                
Fair value of assets acquired           6.7    
Goodwill           9.4    
Fair value of liabilities assumed           (16.1)    
Net cash paid for acquisition           $ 0.0    
Inpatient Rehabilitation Segment [Member] | Series of individually immaterial business acquisitions [Member]                
Business Acquisition [Line Items]                
Acquisitions       $ 0.7        
Fair value of assets acquired             62.8  
Goodwill             0.7  
Fair value of liabilities assumed             2.7  
Noncontrolling interests             4.2  
Net cash paid for acquisition             $ 56.6  
Inpatient Rehabilitation Segment [Member] | Reliant [Member]                
Business Acquisition [Line Items]                
Fair value of assets acquired     $ 316.6          
Goodwill     642.6          
Fair value of liabilities assumed     (230.0)          
Noncontrolling interests     (0.4)          
Net cash paid for acquisition     728.8          
Cash acquired in acquisition     $ 42.6          
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Gulfport, Mount Carmel, Jackson and Heritage Valley [Member]                
Business Acquisition [Line Items]                
Goodwill         24.0      
Net cash paid for acquisition         $ 10.9