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Basis of Presentation - Net Operating Revenues (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Disaggregation of Revenue [Line Items]    
Net operating revenues $ 1,230.4 $ 1,182.0
Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 959.9 909.2
Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 270.5 272.8
Medicare    
Disaggregation of Revenue [Line Items]    
Net operating revenues 838.4 868.1
Medicare | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 614.5 641.9
Medicare | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 223.9 226.2
Medicare Advantage    
Disaggregation of Revenue [Line Items]    
Net operating revenues 186.4 140.9
Medicare Advantage | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 158.4 111.5
Medicare Advantage | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 28.0 29.4
Managed care    
Disaggregation of Revenue [Line Items]    
Net operating revenues 126.5 102.3
Managed care | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 112.2 90.2
Managed care | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 14.3 12.1
Medicaid    
Disaggregation of Revenue [Line Items]    
Net operating revenues 42.8 34.9
Medicaid | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 39.0 30.7
Medicaid | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 3.8 4.2
Other third-party payors    
Disaggregation of Revenue [Line Items]    
Net operating revenues 12.1 11.0
Other third-party payors | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 12.1 11.0
Other third-party payors | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 0.0 0.0
Workers’ compensation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 5.8 7.2
Workers’ compensation | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 5.7 6.9
Workers’ compensation | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 0.1 0.3
Patients    
Disaggregation of Revenue [Line Items]    
Net operating revenues 5.1 5.9
Patients | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 4.9 5.5
Patients | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues 0.2 0.4
Other income    
Disaggregation of Revenue [Line Items]    
Net operating revenues 13.3 11.7
Other income | Inpatient Rehabilitation    
Disaggregation of Revenue [Line Items]    
Net operating revenues 13.1 11.5
Other income | Home Health and Hospice    
Disaggregation of Revenue [Line Items]    
Net operating revenues $ 0.2 $ 0.2