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Segment Reporting - Reconciliation of Revenue from Segments to Consolidated (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 1,074.1 $ 1,135.0 $ 2,256.1 $ 2,259.0
Inpatient Rehabilitation        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 824.5 873.9 1,733.7 1,744.0
Home Health and Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 249.6 261.1 522.4 515.0
Operating Segments | Inpatient Rehabilitation        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 824.5 873.9 1,733.7 1,744.0
Operating Segments | Inpatient Rehabilitation | Inpatient        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 808.0 851.8 1,698.0 1,699.4
Operating Segments | Inpatient Rehabilitation | Outpatient and other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 16.5 22.1 35.7 44.6
Operating Segments | Home Health and Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 249.6 261.1 522.4 515.0
Operating Segments | Home Health and Hospice | Home health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 201.8 222.7 426.6 442.2
Operating Segments | Home Health and Hospice | Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 47.8 $ 38.4 $ 95.8 $ 72.8