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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