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Segment Reporting - Table 1 (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,067.7 $ 966.4 $ 2,113.7 $ 1,923.5
Costs and Expenses [Abstract]        
Salaries and benefits 578.2 527.8 1,148.4 1,057.9
Other operating expenses 149.4 129.3 290.6 257.1
Supplies 39.3 37.1 79.2 74.1
Occupancy costs 19.5 18.3 38.1 36.2
Total operating expenses 891.0 810.7 1,767.9 1,605.2
Other income (1.3) (0.9) (1.2) (1.9)
Equity in net income of nonconsolidated affiliates (2.0) (2.0) (4.3) (4.1)
Net income attributable to noncontrolling interests 21.4 16.4 42.8 34.0
Inpatient Rehabilitation Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 834.6 777.6 1,674.9 1,555.4
Costs and Expenses [Abstract]        
Salaries and benefits 416.5 394.3 840.7 792.5
Other operating expenses 126.9 112.9 249.8 224.7
Supplies 34.7 33.8 70.6 67.5
Occupancy costs 16.0 15.5 31.5 30.6
Total operating expenses 594.1 556.5 1,192.6 1,115.3
Other income (1.2) (0.9) (1.7) (1.9)
Equity in net income of nonconsolidated affiliates (1.6) (1.8) (3.6) (3.7)
Net income attributable to noncontrolling interests 19.8 15.4 40.3 31.9
Segment Adjusted EBITDA 223.5 208.4 447.3 413.8
Capital Expenditures 54.4 62.6 116.6 105.8
Home Health and Hospice Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 233.1 188.8 438.8 368.1
Costs and Expenses [Abstract]        
Cost of services sold (excluding depreciation and amortization) 109.1 87.5 207.7 175.2
Support and overhead costs 80.8 67.7 152.8 134.5
Total operating expenses 189.9 155.2 360.5 309.7
Other income (0.5) 0.0 (0.5) 0.0
Equity in net income of nonconsolidated affiliates (0.4) (0.2) (0.7) (0.4)
Net income attributable to noncontrolling interests 2.5 1.0 4.4 2.1
Segment Adjusted EBITDA 41.6 32.8 75.1 56.7
Capital Expenditures $ 4.3 $ 2.2 $ 6.0 $ 3.9