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Segment Reporting - Selected Financial Information of Reportable Segments (Details) - USD ($)
$ in Millions
 3 Months Ended 12 Months Ended
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Segment Reporting Information [Line Items]                      
Net operating revenues $ 1,214.4 $ 1,173.9 $ 1,074.1 $ 1,182.0 $ 1,184.4 $ 1,161.6 $ 1,135.0 $ 1,124.0 $ 4,644.4 $ 4,605.0 $ 4,277.3
Operating expenses:                      
Salaries and benefits                 2,682.0 2,573.0 2,354.0
Other operating expenses                 634.4 623.6 585.1
Supplies                 200.5 167.9 158.7
Occupancy costs                 81.2 82.3  
Total operating expenses                 3,999.4 3,912.5 3,647.7
Other income                 (10.6) (30.5) (2.2)
Equity in net income of nonconsolidated affiliates                 (3.5) (6.7) (8.7)
Noncontrolling interests $ (25.7) $ (22.4) $ (14.8) $ (21.7) $ (22.6) $ (21.9) $ (19.7) $ (22.9) (84.6) (87.1) (83.1)
Inpatient Rehabilitation                      
Segment Reporting Information [Line Items]                      
Net operating revenues                 3,566.2 3,513.0 3,346.2
Operating expenses:                      
Salaries and benefits                 1,903.8 1,813.1 1,701.5
Other operating expenses                 534.7 521.9 502.3
Supplies                 171.0 147.0 140.6
Occupancy costs                 61.4 64.8 63.8
Cost of services sold (excluding depreciation and amortization)                 0.0 0.0 0.0
Support and overhead costs                 0.0 0.0 0.0
Total operating expenses                 2,670.9 2,546.8 2,408.2
Other income                 (8.0) (10.5) (3.6)
Equity in net income of nonconsolidated affiliates                 (3.0) (5.5) (7.5)
Noncontrolling interests                 83.3 82.6 77.2
Segment Adjusted EBITDA                 823.0 899.6 871.9
Capital expenditures                 404.6 391.4 264.6
Home Health and Hospice                      
Segment Reporting Information [Line Items]                      
Net operating revenues                 1,078.2 1,092.0 931.1
Operating expenses:                      
Salaries and benefits                 0.0 0.0 0.0
Other operating expenses                 0.0 0.0 0.0
Supplies                 0.0 0.0 0.0
Occupancy costs                 0.0 0.0 0.0
Cost of services sold (excluding depreciation and amortization)                 511.3 506.2 438.4
Support and overhead costs                 402.8 381.7 323.5
Total operating expenses                 914.1 887.9 761.9
Other income                 0.0 0.0 (0.5)
Equity in net income of nonconsolidated affiliates                 (0.5) (1.2) (1.2)
Noncontrolling interests                 1.3 9.5 8.5
Segment Adjusted EBITDA                 163.3 195.8 162.4
Capital expenditures                 $ 3.6 $ 12.7 $ 11.6