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Business Combinations - Net Cash Paid for Acquisitions (Details) - USD ($) $ in Millions	1 Months Ended	3 Months Ended		9 Months Ended
	Jul. 31, 2019	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Business Acquisition [Line Items]
Net cash paid for acquisition				$ 231.2	$ 135.8
Inpatient Rehabilitation Segment [Member] | Saint Alphonsus and Heritage Valley [Member]
Business Acquisition [Line Items]
Fair value of assets acquired		$ 0.5	$ 9.7	0.5	9.7
Goodwill		4.8	6.4	4.8	6.4
Fair value of liabilities assumed		(0.2)	0.0	(0.2)	0.0
Fair value of noncontrolling interest owned by joint venture partner		(5.1)	(16.1)	(5.1)	(16.1)
Net cash paid for acquisition		0.0	0.0	0.0	0.0
Home Health and Hospice Segment [Member] | Alacare [Member]
Business Acquisition [Line Items]
Fair value of assets acquired	$ 68.6
Goodwill	163.9
Fair value of liabilities assumed	(15.0)
Net cash paid for acquisition	$ 217.5
Home Health and Hospice Segment [Member] | Tidewater and Care Resource Group [Member]
Business Acquisition [Line Items]
Fair value of assets acquired		0.0	41.0	3.2	42.0
Goodwill		0.0	97.0	10.8	102.1
Fair value of liabilities assumed		0.0	(8.3)	(0.3)	(8.3)
Net cash paid for acquisition		$ 0.0	$ 129.7	$ 13.7	$ 135.8

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