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Goodwill and Other Intangible Assets - Carrying Amounts of Goodwill (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Schedule of Changes in the Carrying Amount of Goodwill      
Goodwill, Beginning Balance $ 1,972.6 $ 1,927.2 $ 1,890.1
Acquisitions 128.2 45.4 51.4
Divestiture of pediatric home health services     (14.3)
Goodwill, Ending Balance 2,100.8 1,972.6 1,927.2
Inpatient Rehabilitation Segment [Member]      
Schedule of Changes in the Carrying Amount of Goodwill      
Goodwill, Beginning Balance 1,166.0 1,142.0 1,133.1
Acquisitions 23.2 24.0 8.9
Divestiture of pediatric home health services     0.0
Goodwill, Ending Balance 1,189.2 1,166.0 1,142.0
Home Health and Hospice Segment [Member]      
Schedule of Changes in the Carrying Amount of Goodwill      
Goodwill, Beginning Balance 806.6 785.2 757.0
Acquisitions 105.0 21.4 42.5
Divestiture of pediatric home health services     (14.3)
Goodwill, Ending Balance $ 911.6 $ 806.6 $ 785.2