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Segment Reporting - Revenues of Operating Segments by Service Line (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, Revenue Reconciling Item [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
Inpatient Rehabilitation
Segment Reporting, Revenue Reconciling Item [Line Items]
Net operating revenues									3,566.2	3,513.0	3,346.2
Inpatient Rehabilitation | Inpatient
Segment Reporting, Revenue Reconciling Item [Line Items]
Net operating revenues									3,496.1	3,423.5	3,247.9
Inpatient Rehabilitation | Outpatient and other
Segment Reporting, Revenue Reconciling Item [Line Items]
Net operating revenues									70.1	89.5	98.3
Home Health and Hospice
Segment Reporting, Revenue Reconciling Item [Line Items]
Net operating revenues									1,078.2	1,092.0	931.1
Home Health and Hospice | Home health
Segment Reporting, Revenue Reconciling Item [Line Items]
Net operating revenues									877.6	918.0	814.6
Home Health and Hospice | Hospice
Segment Reporting, Revenue Reconciling Item [Line Items]
Net operating revenues									$ 200.6	$ 174.0	$ 116.5

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Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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