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Segment Reporting - Segment Reporting Information, Reconciliation of Net Operating Revenues to Segment Adjusted EBITDA (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,161.6 $ 1,067.6 $ 3,420.6 $ 3,181.3
Costs and Expenses [Abstract]        
Salaries and benefits 660.8 592.3 1,904.5 1,740.7
Other operating expenses 156.6 142.9 456.5 433.5
Supplies 42.9 38.6 124.7 117.8
Occupancy costs 21.8 19.6 61.7 57.7
Total operating expenses 989.7 894.5 2,890.7 2,662.4
Other income (21.0) (1.7) (26.9) (2.9)
Equity in net income of nonconsolidated affiliates (1.2) (2.1) (5.5) (6.4)
Net income attributable to noncontrolling interests 21.9 20.7 64.5 63.5
Inpatient Rehabilitation Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 872.3 825.6 2,616.3 2,500.5
Costs and Expenses [Abstract]        
Salaries and benefits 459.1 423.6 1,347.7 1,264.3
Other operating expenses 131.3 124.3 386.1 374.1
Supplies 37.0 33.6 109.3 104.2
Occupancy costs 17.0 15.9 49.1 47.4
Total operating expenses 644.4 597.4 1,892.2 1,790.0
Other income (1.8) (1.8) (6.5) (3.5)
Equity in net income of nonconsolidated affiliates (1.0) (1.9) (4.5) (5.5)
Net income attributable to noncontrolling interests 20.1 19.0 60.6 59.3
Segment Adjusted EBITDA 210.6 212.9 674.5 660.2
Capital Expenditures 103.6 64.5 266.0 181.1
Home Health and Hospice Segment [Member]        
Segment Reporting Information [Line Items]        
Net operating revenues 289.3 242.0 804.3 680.8
Costs and Expenses [Abstract]        
Cost of services sold (excluding depreciation and amortization) 136.4 114.6 372.8 322.3
Support and overhead costs 99.6 82.4 278.1 235.2
Total operating expenses 236.0 197.0 650.9 557.5
Other income 0.0 0.0 0.0 (0.5)
Equity in net income of nonconsolidated affiliates (0.2) (0.2) (1.0) (0.9)
Net income attributable to noncontrolling interests 2.7 2.0 8.2 6.4
Segment Adjusted EBITDA 50.8 43.2 146.2 118.3
Capital Expenditures $ 3.1 $ 1.7 $ 11.1 $ 7.7