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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
Mar. 31, 2020
Mar. 31, 2019
Segment Reporting Information [Line Items]    
Net operating revenues $ 1,182.0 $ 1,124.0
Costs and Expenses [Abstract]    
Salaries and benefits 679.1 620.8
Other operating expenses 159.6 150.1
Supplies 45.7 40.1
Occupancy costs 20.2 19.6
Total operating expenses 1,001.8 936.5
Other income 1.9 (3.7)
Equity in net income of nonconsolidated affiliates (0.8) (2.5)
Noncontrolling interests 21.7 22.9
Operating Segments    
Costs and Expenses [Abstract]    
Segment Adjusted EBITDA 256.5 276.3
Operating Segments | Inpatient Rehabilitation    
Segment Reporting Information [Line Items]    
Net operating revenues 909.2 870.1
Costs and Expenses [Abstract]    
Salaries and benefits 482.3 445.0
Other operating expenses 134.7 127.6
Supplies 39.6 35.6
Occupancy costs 15.3 15.8
Total operating expenses 671.9 624.0
Other income 1.6 (2.8)
Equity in net income of nonconsolidated affiliates (0.6) (2.1)
Noncontrolling interests 20.8 21.0
Segment Adjusted EBITDA 215.5 230.0
Capital expenditures 83.3 70.4
Operating Segments | Home Health and Hospice    
Segment Reporting Information [Line Items]    
Net operating revenues 272.8 253.9
Costs and Expenses [Abstract]    
Cost of services sold (excluding depreciation and amortization) 130.9 116.5
Support and overhead costs 100.2 88.8
Total operating expenses 231.1 205.3
Other income 0.0 0.0
Equity in net income of nonconsolidated affiliates (0.2) (0.4)
Noncontrolling interests 0.9 2.7
Segment Adjusted EBITDA 41.0 46.3
Capital expenditures $ 1.5 $ 4.5