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Segment Reporting - Reconciliation of Revenue from Segments to Consolidated (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 1,284.8 $ 1,173.9 $ 3,802.9 $ 3,430.0
Inpatient Rehabilitation        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 1,010.9 899.4 2,972.4 2,633.1
Inpatient Rehabilitation | Inpatient        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 983.7 883.2 2,902.9 2,581.2
Inpatient Rehabilitation | Outpatient and other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 27.2 16.2 69.5 51.9
Home Health and Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 273.9 274.5 830.5 796.9
Home Health and Hospice | Home health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues 221.1 223.3 673.3 649.9
Home Health and Hospice | Hospice        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Net operating revenues $ 52.8 $ 51.2 $ 157.2 $ 147.0