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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 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,287.7 $ 1,074.1 $ 2,518.1 $ 2,256.1
Operating expenses:        
Salaries and benefits 708.2 651.9 1,395.4 1,331.0
Other operating expenses 172.7 148.3 335.0 307.9
Supplies 50.0 50.6 101.9 96.3
Occupancy costs 20.2 20.3 40.4 40.5
Total operating expenses 1,068.7 974.8 2,091.4 1,976.6
Other income (4.6) (5.8) (6.0) (3.9)
Equity in net income of nonconsolidated affiliates (1.0) (0.7) (2.0) (1.5)
Noncontrolling interests 28.7 14.8 54.2 36.5
Inpatient Rehabilitation        
Segment Reporting Information [Line Items]        
Net operating revenues 1,001.6 824.5 1,961.5 1,733.7
Operating expenses:        
Salaries and benefits 515.9 451.4 1,017.8 933.7
Other operating expenses 147.5 124.3 287.5 259.0
Supplies 44.1 42.0 89.3 81.6
Occupancy costs 15.0 15.4 30.1 30.7
Cost of service (excluding depreciation and amortization) 0.0 0.0 0.0 0.0
Support and overhead costs 0.0 0.0 0.0 0.0
Total operating expenses 722.5 633.1 1,424.7 1,305.0
Other income (2.3) (3.4) (3.8) (1.8)
Equity in net income of nonconsolidated affiliates (0.8) (0.6) (1.6) (1.2)
Noncontrolling interests 28.2 15.1 53.3 35.9
Segment Adjusted EBITDA 254.0 180.3 488.9 395.8
Capital expenditures 120.4 88.9 220.2 172.2
Home Health and Hospice        
Segment Reporting Information [Line Items]        
Net operating revenues 286.1 249.6 556.6 522.4
Operating expenses:        
Salaries and benefits 0.0 0.0 0.0 0.0
Other operating expenses 0.0 0.0 0.0 0.0
Supplies 0.0 0.0 0.0 0.0
Occupancy costs 0.0 0.0 0.0 0.0
Cost of service (excluding depreciation and amortization) 122.6 136.7 240.7 267.6
Support and overhead costs 103.1 98.3 204.5 198.5
Total operating expenses 225.7 235.0 445.2 466.1
Other income (1.6) 0.0 (1.6) 0.0
Equity in net income of nonconsolidated affiliates (0.2) (0.1) (0.4) (0.3)
Noncontrolling interests 0.5 (0.3) 0.9 0.6
Segment Adjusted EBITDA 61.7 15.0 112.5 56.0
Capital expenditures $ 2.2 $ 0.6 $ 3.1 $ 2.1