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Basis of Presentation - Net Operating Revenues (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Disaggregation of Revenue [Line Items]    
Net operating revenues $ 1,124.0 $ 1,046.0
Inpatient Rehabilitation Segment [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 870.1 840.3
Home Health and Hospice Segment [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 253.9 205.7
Net operating revenues [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 1,124.0 1,046.0
Net operating revenues [Member] | Other income [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 12.3 10.0
Net operating revenues [Member] | Inpatient Rehabilitation Segment [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 870.1 840.3
Net operating revenues [Member] | Inpatient Rehabilitation Segment [Member] | Other income [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 12.0 9.8
Net operating revenues [Member] | Home Health and Hospice Segment [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 253.9 205.7
Net operating revenues [Member] | Home Health and Hospice Segment [Member] | Other income [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 0.3 0.2
Net operating revenues [Member] | Third-Party Payor [Member] | Medicare [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 853.7 801.4
Net operating revenues [Member] | Third-Party Payor [Member] | Medicare Advantage [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 110.7 92.5
Net operating revenues [Member] | Third-Party Payor [Member] | Managed Care [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 91.9 92.6
Net operating revenues [Member] | Third-Party Payor [Member] | Medicaid [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 30.5 25.2
Net operating revenues [Member] | Third-Party Payor [Member] | Other third-party payors [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 10.0 12.0
Net operating revenues [Member] | Third-Party Payor [Member] | Workers' compensation [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 8.4 7.5
Net operating revenues [Member] | Third-Party Payor [Member] | Inpatient Rehabilitation Segment [Member] | Medicare [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 638.9 624.5
Net operating revenues [Member] | Third-Party Payor [Member] | Inpatient Rehabilitation Segment [Member] | Medicare Advantage [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 85.2 72.5
Net operating revenues [Member] | Third-Party Payor [Member] | Inpatient Rehabilitation Segment [Member] | Managed Care [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 83.5 85.0
Net operating revenues [Member] | Third-Party Payor [Member] | Inpatient Rehabilitation Segment [Member] | Medicaid [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 26.2 24.7
Net operating revenues [Member] | Third-Party Payor [Member] | Inpatient Rehabilitation Segment [Member] | Other third-party payors [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 10.0 12.0
Net operating revenues [Member] | Third-Party Payor [Member] | Inpatient Rehabilitation Segment [Member] | Workers' compensation [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 8.2 7.4
Net operating revenues [Member] | Third-Party Payor [Member] | Home Health and Hospice Segment [Member] | Medicare [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 214.8 176.9
Net operating revenues [Member] | Third-Party Payor [Member] | Home Health and Hospice Segment [Member] | Medicare Advantage [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 25.5 20.0
Net operating revenues [Member] | Third-Party Payor [Member] | Home Health and Hospice Segment [Member] | Managed Care [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 8.4 7.6
Net operating revenues [Member] | Third-Party Payor [Member] | Home Health and Hospice Segment [Member] | Medicaid [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 4.3 0.5
Net operating revenues [Member] | Third-Party Payor [Member] | Home Health and Hospice Segment [Member] | Other third-party payors [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 0.0 0.0
Net operating revenues [Member] | Third-Party Payor [Member] | Home Health and Hospice Segment [Member] | Workers' compensation [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 0.2 0.1
Net operating revenues [Member] | Self-Pay [Member] | Patients [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 6.5 4.8
Net operating revenues [Member] | Self-Pay [Member] | Inpatient Rehabilitation Segment [Member] | Patients [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues 6.1 4.4
Net operating revenues [Member] | Self-Pay [Member] | Home Health and Hospice Segment [Member] | Patients [Member] | Payor Source [Member]    
Disaggregation of Revenue [Line Items]    
Net operating revenues $ 0.4 $ 0.4