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Basis of Presentation - Net Operating Revenues (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | $ 1,173.9 | $ 1,161.6 | $ 3,430.0 | $ 3,420.6
Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 899.4 | 872.3 | 2,633.1 | 2,616.3
Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 274.5 | 289.3 | 796.9 | 804.3
Medicare |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 821.0 | 872.9 | 2,396.9 | 2,577.2
Medicare | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 592.4 | 624.5 | 1,738.1 | 1,892.8
Medicare | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 228.6 | 248.4 | 658.8 | 684.4
Medicare Advantage |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 170.7 | 119.9 | 506.5 | 353.6
Medicare Advantage | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 141.1 | 94.7 | 418.2 | 276.2
Medicare Advantage | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 29.6 | 25.2 | 88.3 | 77.4
Managed care |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 108.3 | 97.7 | 310.2 | 284.2
Managed care | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 95.9 | 87.3 | 274.3 | 257.5
Managed care | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 12.4 | 10.4 | 35.9 | 26.7
Medicaid |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 41.7 | 32.8 | 115.4 | 95.2
Medicaid | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 38.4 | 28.0 | 103.7 | 81.4
Medicaid | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 3.3 | 4.8 | 11.7 | 13.8
Other third-party payors |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 10.8 | 12.1 | 31.1 | 32.6
Other third-party payors | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 10.8 | 12.1 | 31.1 | 32.6
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 | 4.9 | 7.2 | 16.5 | 22.3
Workers’ compensation | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 4.6 | 6.9 | 15.7 | 21.6
Workers’ compensation | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 0.3 | 0.3 | 0.8 | 0.7
Patients |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 5.3 | 6.1 | 15.7 | 18.3
Patients | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 5.1 | 6.1 | 14.8 | 17.8
Patients | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 0.2 | 0.0 | 0.9 | 0.5
Other income |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 11.2 | 12.9 | 37.7 | 37.2
Other income | Inpatient Rehabilitation |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | 11.1 | 12.7 | 37.2 | 36.4
Other income | Home Health and Hospice |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net operating revenues | $ 0.1 | $ 0.2 | $ 0.5 | $ 0.8

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