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Segment Reporting - Table 1 (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Segment Reporting Information [Line Items]    
Net operating revenues $ 1,046.0 $ 957.1
Costs and Expenses [Abstract]    
Salaries and benefits 570.2 530.1
Other operating expenses 141.2 127.8
Supplies 39.9 37.0
Occupancy costs 18.6 17.9
Total operating expenses 876.9 794.5
Other income 0.1 (1.0)
Equity in net income of nonconsolidated affiliates (2.3) (2.1)
Net income attributable to noncontrolling interests 21.4 17.6
Inpatient Rehabilitation Segment [Member]    
Segment Reporting Information [Line Items]    
Net operating revenues 840.3 777.8
Costs and Expenses [Abstract]    
Salaries and benefits 424.2 398.2
Other operating expenses 122.9 111.8
Supplies 35.9 33.7
Occupancy costs 15.5 15.1
Total operating expenses 598.5 558.8
Other income (0.5) (1.0)
Equity in net income of nonconsolidated affiliates (2.0) (1.9)
Net income attributable to noncontrolling interests 20.5 16.5
Segment Adjusted EBITDA 223.8 205.4
Capital Expenditures 62.2 43.1
Home Health and Hospice Segment [Member]    
Segment Reporting Information [Line Items]    
Net operating revenues 205.7 179.3
Costs and Expenses [Abstract]    
Cost of services sold (excluding depreciation and amortization) 98.6 87.7
Support and overhead costs 72.0 66.8
Total operating expenses 170.6 154.5
Other income 0.0 0.0
Equity in net income of nonconsolidated affiliates (0.3) (0.2)
Net income attributable to noncontrolling interests 1.9 1.1
Segment Adjusted EBITDA 33.5 23.9
Capital Expenditures $ 1.7 $ 1.7