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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 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,074.1 $ 1,135.0 $ 2,256.1 $ 2,259.0
Operating expenses:        
Salaries and benefits 651.9 622.9 1,331.0 1,243.7
Other operating expenses 148.3 149.8 307.9 299.9
Supplies 50.6 41.7 96.3 81.8
Occupancy costs 20.3 20.3 40.5 39.9
Total operating expenses 974.8 964.5 1,976.6 1,901.0
Other income (5.8) (2.2) (3.9) (5.9)
Equity in net income of nonconsolidated affiliates (0.7) (1.8) (1.5) (4.3)
Noncontrolling interests 14.8 19.7 36.5 42.6
Inpatient Rehabilitation        
Segment Reporting Information [Line Items]        
Net operating revenues 824.5 873.9 1,733.7 1,744.0
Home Health and Hospice        
Segment Reporting Information [Line Items]        
Net operating revenues 249.6 261.1 522.4 515.0
Operating Segments        
Operating expenses:        
Segment Adjusted EBITDA 195.3 283.0 451.8 559.3
Operating Segments | Inpatient Rehabilitation        
Segment Reporting Information [Line Items]        
Net operating revenues 824.5 873.9 1,733.7 1,744.0
Operating expenses:        
Salaries and benefits 451.4 443.6 933.7 888.6
Other operating expenses 124.3 127.2 259.0 254.8
Supplies 42.0 36.7 81.6 72.3
Occupancy costs 15.4 16.3 30.7 32.1
Total operating expenses 633.1 623.8 1,305.0 1,247.8
Other income (3.4) (1.9) (1.8) (4.7)
Equity in net income of nonconsolidated affiliates (0.6) (1.4) (1.2) (3.5)
Noncontrolling interests 15.1 19.5 35.9 40.5
Segment Adjusted EBITDA 180.3 233.9 395.8 463.9
Capital expenditures 88.9 92.0 172.2 162.4
Operating Segments | Home Health and Hospice        
Segment Reporting Information [Line Items]        
Net operating revenues 249.6 261.1 522.4 515.0
Operating expenses:        
Cost of services sold (excluding depreciation and amortization) 136.7 119.9 267.6 236.4
Support and overhead costs 98.3 89.7 198.5 178.5
Total operating expenses 235.0 209.6 466.1 414.9
Other income 0.0 0.0 0.0 0.0
Equity in net income of nonconsolidated affiliates (0.1) (0.4) (0.3) (0.8)
Noncontrolling interests (0.3) 2.8 0.6 5.5
Segment Adjusted EBITDA 15.0 49.1 56.0 95.4
Capital expenditures $ 0.6 $ 3.5 $ 2.1 $ 8.0