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Business Combinations - Net Cash Paid for Acquisition (Details) - USD ($)
$ in Millions
12 Months Ended
May 01, 2018
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Business Acquisition [Line Items]          
Goodwill   $ 2,100.8 $ 1,972.6 $ 1,927.2 $ 1,890.1
Net cash paid for acquisition   143.9 38.8 48.1  
Inpatient Rehabilitation Segment [Member]          
Business Acquisition [Line Items]          
Goodwill   1,189.2 1,166.0 1,142.0 1,133.1
Inpatient Rehabilitation Segment [Member] | Gulfport, Mount Carmel, Jackson and Heritage Valley [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired     11.0    
Goodwill     24.0    
Noncontrolling interests     (24.1)    
Inpatient Rehabilitation Segment [Member] | Murrells Inlet, Winston-Salem and Littleton [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired   16.3      
Goodwill   23.2      
Fair value of liabilities assumed   (0.2)      
Noncontrolling interests   (39.3)      
Net cash paid for acquisition   0.0      
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  
Noncontrolling interests       (16.1)  
Net cash paid for acquisition       0.0  
Home Health and Hospice Segment [Member]          
Business Acquisition [Line Items]          
Goodwill   911.6 806.6 785.2 $ 757.0
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    
Goodwill     21.4    
Fair value of liabilities assumed     0.3    
Net cash paid for acquisition     27.9    
Home Health and Hospice Segment [Member] | Camellia Healthcare [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired $ 41.0        
Goodwill 96.1        
Fair value of liabilities assumed (5.7)        
Net cash paid for acquisition $ 131.4        
Home Health and Hospice Segment [Member] | Golden Age, MSA and Tenet [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired   4.3      
Goodwill   8.9      
Fair value of liabilities assumed   0.1      
Noncontrolling interests   (0.6)      
Net cash paid for acquisition   $ 12.5      
Home Health and Hospice Segment [Member] | Series of individually immaterial business acquisitions [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired       7.1  
Goodwill       41.4  
Fair value of liabilities assumed       0.4  
Net cash paid for acquisition       $ 48.1  
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