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Basis of Presentation - Net Operating Revenues (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | $ 1,074.1 | $ 1,135.0 | $ 2,256.1 | $ 2,259.0
Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 824.5 | 873.9 | 1,733.7 | 1,744.0
Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 249.6 | 261.1 | 522.4 | 515.0
Medicare |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 707.0 | 850.1 | 1,576.3 | 1,704.5
Medicare | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 502.9 | 629.0 | 1,145.9 | 1,268.4
Medicare | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 204.1 | 221.1 | 430.4 | 436.1
Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 195.3 | 123.7 | 335.7 | 233.7
Medicare Advantage | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 166.1 | 97.0 | 277.0 | 181.5
Medicare Advantage | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 29.2 | 26.7 | 58.7 | 52.2
Managed care |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 99.9 | 94.5 | 201.8 | 186.4
Managed care | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 88.4 | 86.5 | 178.3 | 170.1
Managed care | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 11.5 | 8.0 | 23.5 | 16.3
Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 38.8 | 31.7 | 73.6 | 62.3
Medicaid | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 34.7 | 27.1 | 65.2 | 53.4
Medicaid | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 4.1 | 4.6 | 8.4 | 8.9
Other third-party payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 9.3 | 10.5 | 20.3 | 20.5
Other third-party payors | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 9.3 | 10.5 | 20.3 | 20.5
Other third-party payors | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 0.0 | 0.0 | 0.0 | 0.0
Workers’ compensation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 4.5 | 6.8 | 11.6 | 15.1
Workers’ compensation | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 4.2 | 6.5 | 11.1 | 14.7
Workers’ compensation | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 0.3 | 0.3 | 0.5 | 0.4
Patients |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 4.4 | 5.7 | 10.3 | 12.2
Patients | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 4.2 | 5.6 | 9.7 | 11.7
Patients | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 0.2 | 0.1 | 0.6 | 0.5
Other income |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 14.9 | 12.0 | 26.5 | 24.3
Other income | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 14.7 | 11.7 | 26.2 | 23.7
Other income | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | $ 0.2 | $ 0.3 | $ 0.3 | $ 0.6

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