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Segment Reporting - Table 1 (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,135.0 $ 1,067.7 $ 2,259.0 $ 2,113.7
Costs and Expenses [Abstract]        
Salaries and benefits 622.9 578.2 1,243.7 1,148.4
Other operating expenses 149.8 149.4 299.9 290.6
Supplies 41.7 39.3 81.8 79.2
Occupancy costs 20.3 19.5 39.9 38.1
Total operating expenses 964.5 891.0 1,901.0 1,767.9
Other income (2.2) (1.3) (5.9) (1.2)
Equity in net income of nonconsolidated affiliates (1.8) (2.0) (4.3) (4.3)
Net income attributable to noncontrolling interests 19.7 21.4 42.6 42.8
Inpatient Rehabilitation Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 873.9 834.6 1,744.0 1,674.9
Costs and Expenses [Abstract]        
Salaries and benefits 443.6 416.5 888.6 840.7
Other operating expenses 127.2 126.9 254.8 249.8
Supplies 36.7 34.7 72.3 70.6
Occupancy costs 16.3 16.0 32.1 31.5
Total operating expenses 623.8 594.1 1,247.8 1,192.6
Other income (1.9) (1.2) (4.7) (1.7)
Equity in net income of nonconsolidated affiliates (1.4) (1.6) (3.5) (3.6)
Net income attributable to noncontrolling interests 19.5 19.8 40.5 40.3
Segment Adjusted EBITDA 233.9 223.5 463.9 447.3
Capital Expenditures 92.0 54.4 162.4 116.6
Home Health and Hospice Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 261.1 233.1 515.0 438.8
Costs and Expenses [Abstract]        
Cost of services sold (excluding depreciation and amortization) 119.9 109.1 236.4 207.7
Support and overhead costs 89.7 80.8 178.5 152.8
Total operating expenses 209.6 189.9 414.9 360.5
Other income 0.0 (0.5) 0.0 (0.5)
Equity in net income of nonconsolidated affiliates (0.4) (0.4) (0.8) (0.7)
Net income attributable to noncontrolling interests 2.8 2.5 5.5 4.4
Segment Adjusted EBITDA 49.1 41.6 95.4 75.1
Capital Expenditures $ 3.5 $ 4.3 $ 8.0 $ 6.0