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Basis of Presentation - Net Operating Revenues (Details) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2020 | Mar. 31, 2019
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | $ 1,182.0 | $ 1,124.0
Net operating revenues | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 1,182.0 | 1,124.0
Net operating revenues | Other income | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 11.7 | 12.3
Net operating revenues | Inpatient Rehabilitation | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 909.2 | 870.1
Net operating revenues | Inpatient Rehabilitation | Other income | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 11.5 | 12.0
Net operating revenues | Home Health and Hospice | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 272.8 | 253.9
Net operating revenues | Home Health and Hospice | Other income | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 0.2 | 0.3
Net operating revenues | Third-Party Payor | Medicare | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 868.1 | 853.7
Net operating revenues | Third-Party Payor | Medicare Advantage | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 140.9 | 110.7
Net operating revenues | Third-Party Payor | Managed care | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 102.3 | 91.9
Net operating revenues | Third-Party Payor | Medicaid | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 34.9 | 30.5
Net operating revenues | Third-Party Payor | Other third-party payors | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 11.0 | 10.0
Net operating revenues | Third-Party Payor | Workers’ compensation | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 7.2 | 8.4
Net operating revenues | Third-Party Payor | Inpatient Rehabilitation | Medicare | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 641.9 | 638.9
Net operating revenues | Third-Party Payor | Inpatient Rehabilitation | Medicare Advantage | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 111.5 | 85.2
Net operating revenues | Third-Party Payor | Inpatient Rehabilitation | Managed care | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 90.2 | 83.5
Net operating revenues | Third-Party Payor | Inpatient Rehabilitation | Medicaid | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 30.7 | 26.2
Net operating revenues | Third-Party Payor | Inpatient Rehabilitation | Other third-party payors | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 11.0 | 10.0
Net operating revenues | Third-Party Payor | Inpatient Rehabilitation | Workers’ compensation | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 6.9 | 8.2
Net operating revenues | Third-Party Payor | Home Health and Hospice | Medicare | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 226.2 | 214.8
Net operating revenues | Third-Party Payor | Home Health and Hospice | Medicare Advantage | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 29.4 | 25.5
Net operating revenues | Third-Party Payor | Home Health and Hospice | Managed care | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 12.1 | 8.4
Net operating revenues | Third-Party Payor | Home Health and Hospice | Medicaid | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 4.2 | 4.3
Net operating revenues | Third-Party Payor | Home Health and Hospice | Other third-party payors | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 0.0 | 0.0
Net operating revenues | Third-Party Payor | Home Health and Hospice | Workers’ compensation | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 0.3 | 0.2
Net operating revenues | Self-Pay | Patients | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 5.9 | 6.5
Net operating revenues | Self-Pay | Inpatient Rehabilitation | Patients | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | 5.5 | 6.1
Net operating revenues | Self-Pay | Home Health and Hospice | Patients | Payor Source |  |
Disaggregation of Revenue [Line Items] |  |
Net operating revenues | $ 0.4 | $ 0.4

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