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Segment Reporting - Table 1 (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,067.6 $ 981.6 $ 3,181.3 $ 2,905.1
Costs and Expenses [Abstract]        
Salaries and benefits 592.3 542.1 1,740.7 1,600.0
Other operating expenses 142.9 136.2 433.5 393.3
Supplies 38.6 36.5 117.8 110.6
Occupancy costs 19.6 18.6 57.7 54.8
Total operating expenses 894.5 819.3 2,662.4 2,424.5
Other income (1.7) (1.0) (2.9) (2.9)
Equity in net income of nonconsolidated affiliates (2.1) (2.1) (6.4) (6.2)
Net income attributable to noncontrolling interests 20.7 19.2 63.5 53.2
Inpatient Rehabilitation Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 825.6 783.5 2,500.5 2,338.9
Costs and Expenses [Abstract]        
Salaries and benefits 423.6 403.2 1,264.3 1,195.7
Other operating expenses 124.3 117.4 374.1 342.1
Supplies 33.6 33.1 104.2 100.6
Occupancy costs 15.9 15.7 47.4 46.3
Total operating expenses 597.4 569.4 1,790.0 1,684.7
Other income (1.8) (1.0) (3.5) (2.9)
Equity in net income of nonconsolidated affiliates (1.9) (1.9) (5.5) (5.6)
Net income attributable to noncontrolling interests 19.0 16.7 59.3 48.6
Segment Adjusted EBITDA 212.9 200.3 660.2 614.1
Capital Expenditures 64.5 59.1 181.1 164.7
Home Health and Hospice Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 242.0 198.1 680.8 566.2
Costs and Expenses [Abstract]        
Cost of services sold (excluding depreciation and amortization) 114.6 92.1 322.3 267.3
Support and overhead costs 82.4 68.9 235.2 203.4
Total operating expenses 197.0 161.0 557.5 470.7
Other income 0.0 0.0 (0.5) 0.0
Equity in net income of nonconsolidated affiliates (0.2) (0.2) (0.9) (0.6)
Net income attributable to noncontrolling interests 2.0 2.5 6.4 4.6
Segment Adjusted EBITDA 43.2 34.8 118.3 91.5
Capital Expenditures $ 1.7 $ 1.7 $ 7.7 $ 5.6