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Segment Reporting - Segment Reporting Information, Reconciliation of Net Operating Revenues to Segment Adjusted EBITDA (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Segment Reporting Information [Line Items]    
Net operating revenues $ 1,230.4 $ 1,182.0
Operating expenses:    
Salaries and benefits 687.2 679.1
Other operating expenses 162.3 159.6
Supplies 51.9 45.7
Occupancy costs 20.2 20.2
Total operating expenses 1,022.7 1,001.8
Other (income) expense (1.4) 1.9
Equity in net income of nonconsolidated affiliates (1.0) (0.8)
Noncontrolling interests 25.5 21.7
Inpatient Rehabilitation    
Segment Reporting Information [Line Items]    
Net operating revenues 959.9 909.2
Operating expenses:    
Salaries and benefits 501.9 482.3
Other operating expenses 140.0 134.7
Supplies 45.2 39.6
Occupancy costs 15.1 15.3
Cost of service (excluding depreciation and amortization) 0.0 0.0
Support and overhead costs 0.0 0.0
Total operating expenses 702.2 671.9
Other (income) expense (1.5) 1.6
Equity in net income of nonconsolidated affiliates (0.8) (0.6)
Noncontrolling interests 25.1 20.8
Segment Adjusted EBITDA 234.9 215.5
Capital expenditures 99.8 83.3
Home Health and Hospice    
Segment Reporting Information [Line Items]    
Net operating revenues 270.5 272.8
Operating expenses:    
Salaries and benefits 0.0 0.0
Other operating expenses 0.0 0.0
Supplies 0.0 0.0
Occupancy costs 0.0 0.0
Cost of service (excluding depreciation and amortization) 118.1 130.9
Support and overhead costs 101.4 100.2
Total operating expenses 219.5 231.1
Other (income) expense 0.0 0.0
Equity in net income of nonconsolidated affiliates (0.2) (0.2)
Noncontrolling interests 0.4 0.9
Segment Adjusted EBITDA 50.8 41.0
Capital expenditures $ 0.9 $ 1.5