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Segment Reporting - Reconciliation of Revenue from Segments to Consolidated (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 1,173.9 $ 1,161.6 $ 3,430.0 $ 3,420.6
Inpatient Rehabilitation        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 899.4 872.3 2,633.1 2,616.3
Inpatient Rehabilitation | Inpatient        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 883.2 850.6 2,581.2 2,550.0
Inpatient Rehabilitation | Outpatient and other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 16.2 21.7 51.9 66.3
Home Health and Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 274.5 289.3 796.9 804.3
Home Health and Hospice | Home health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 223.3 238.9 649.9 681.1
Home Health and Hospice | Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 51.2 $ 50.4 $ 147.0 $ 123.2