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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 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,284.8 $ 1,173.9 $ 3,802.9 $ 3,430.0
Operating expenses:        
Salaries and benefits 730.1 664.9 2,125.5 1,995.9
Other operating expenses 173.4 163.4 508.4 471.3
Supplies 53.2 52.5 155.1 148.8
Occupancy costs 19.8 20.3 60.2 60.8
Total operating expenses 1,085.3 1,001.4 3,176.7 2,978.0
Other income (0.4) (2.5) (6.4) (6.4)
Equity in net income of nonconsolidated affiliates (0.9) (1.0) (2.9) (2.5)
Noncontrolling interests 26.7 22.4 80.9 58.9
Inpatient Rehabilitation        
Segment Reporting Information [Line Items]        
Net operating revenues 1,010.9 899.4 2,972.4 2,633.1
Operating expenses:        
Salaries and benefits 537.1 475.0 1,554.9 1,408.7
Other operating expenses 156.2 135.5 443.7 394.5
Supplies 46.8 45.3 136.1 126.9
Occupancy costs 14.4 15.3 44.5 46.0
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 754.5 671.1 2,179.2 1,976.1
Other income (0.7) (2.1) (4.5) (3.9)
Equity in net income of nonconsolidated affiliates (0.8) (0.9) (2.4) (2.1)
Noncontrolling interests 26.3 22.1 79.6 58.0
Segment Adjusted EBITDA 231.6 209.2 720.5 605.0
Capital expenditures 127.4 90.4 347.6 262.6
Home Health and Hospice        
Segment Reporting Information [Line Items]        
Net operating revenues 273.9 274.5 830.5 796.9
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) 124.0 121.8 364.7 389.4
Support and overhead costs 103.2 100.7 307.7 299.2
Total operating expenses 227.2 222.5 672.4 688.6
Other income 0.0 0.0 (1.6) 0.0
Equity in net income of nonconsolidated affiliates (0.1) (0.1) (0.5) (0.4)
Noncontrolling interests 0.4 0.3 1.3 0.9
Segment Adjusted EBITDA 46.4 51.8 158.9 107.8
Capital expenditures $ 1.9 $ 0.5 $ 5.0 $ 2.6