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Segment Reporting - Table 1 (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Segment Reporting Information [Line Items]    
Net operating revenues $ 1,124.0 $ 1,046.0
Costs and Expenses [Abstract]    
Salaries and benefits 620.8 570.2
Other operating expenses 150.1 141.2
Supplies 40.1 39.9
Occupancy costs 19.6 18.6
Total operating expenses 936.5 876.9
Other income (3.7) 0.1
Equity in net income of nonconsolidated affiliates (2.5) (2.3)
Net income attributable to noncontrolling interests 22.9 21.4
Inpatient Rehabilitation Segment [Member]    
Segment Reporting Information [Line Items]    
Net operating revenues 870.1 840.3
Costs and Expenses [Abstract]    
Salaries and benefits 445.0 424.2
Other operating expenses 127.6 122.9
Supplies 35.6 35.9
Occupancy costs 15.8 15.5
Total operating expenses 624.0 598.5
Other income (2.8) (0.5)
Equity in net income of nonconsolidated affiliates (2.1) (2.0)
Net income attributable to noncontrolling interests 21.0 20.5
Segment Adjusted EBITDA 230.0 223.8
Capital Expenditures 70.4 62.2
Home Health and Hospice Segment [Member]    
Segment Reporting Information [Line Items]    
Net operating revenues 253.9 205.7
Costs and Expenses [Abstract]    
Cost of services sold (excluding depreciation and amortization) 116.5 98.6
Support and overhead costs 88.8 72.0
Total operating expenses 205.3 170.6
Other income 0.0 0.0
Equity in net income of nonconsolidated affiliates (0.4) (0.3)
Net income attributable to noncontrolling interests 2.7 1.9
Segment Adjusted EBITDA 46.3 33.5
Capital Expenditures $ 4.5 $ 1.7