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Segment Reporting - Reconciliation of Revenue from Segments to Consolidated (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 1,287.7 $ 1,074.1 $ 2,518.1 $ 2,256.1
Inpatient Rehabilitation        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 1,001.6 824.5 1,961.5 1,733.7
Inpatient Rehabilitation | Inpatient        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 976.9 808.0 1,919.2 1,698.0
Inpatient Rehabilitation | Outpatient and other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 24.7 16.5 42.3 35.7
Home Health and Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 286.1 249.6 556.6 522.4
Home Health and Hospice | Home health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 232.3 201.8 452.2 426.6
Home Health and Hospice | Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 53.8 $ 47.8 $ 104.4 $ 95.8