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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