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Segment Reporting - Revenues of Operating Segments by Service Line (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net operating revenues $ 1,184.4 $ 1,161.6 $ 1,135.0 $ 1,124.0 $ 1,096.0 $ 1,067.6 $ 1,067.7 $ 1,046.0 $ 4,605.0 $ 4,277.3 $ 3,913.9
Inpatient Rehabilitation                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net operating revenues                 3,513.0 3,346.2 3,141.3
Inpatient Rehabilitation | Inpatient                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net operating revenues                 3,423.5 3,247.9 3,039.3
Inpatient Rehabilitation | Outpatient and other                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net operating revenues                 89.5 98.3 102.0
Home Health and Hospice Segment                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net operating revenues                 1,092.0 931.1 772.6
Home Health and Hospice Segment | Home health                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net operating revenues                 918.0 814.6 702.4
Home Health and Hospice Segment | Hospice                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Net operating revenues                 $ 174.0 $ 116.5 $ 70.2