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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