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Segment Reporting - Selected Financial Information of Reportable Segments (Details) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Segment Reporting Information [Line Items]      
Net operating revenues $ 5,121.6 $ 4,644.4 $ 4,605.0
Operating expenses:      
Salaries and benefits 2,886.5 2,682.0 2,573.0
Other operating expenses 685.2 634.4 623.6
Supplies 209.3 200.5 167.9
Occupancy costs 80.2 81.2 82.3
Total operating expenses 4,315.1 3,999.4 3,912.5
Other income (12.3) (10.6) (30.5)
Equity in net income of nonconsolidated affiliates (4.0) (3.5) (6.7)
Noncontrolling interests (105.0) (84.6) (87.1)
Inpatient Rehabilitation      
Segment Reporting Information [Line Items]      
Net operating revenues 4,015.0 3,566.2 3,513.0
Operating expenses:      
Salaries and benefits 2,127.3 1,903.8 1,813.1
Other operating expenses 594.8 534.7 521.9
Supplies 184.2 171.0 147.0
Occupancy costs 59.0 61.4 64.8
Cost of services (excluding depreciation and amortization) 0.0 0.0 0.0
Support and overhead costs 0.0 0.0 0.0
Total operating expenses 2,965.3 2,670.9 2,546.8
Other income (6.9) (8.0) (10.5)
Equity in net income of nonconsolidated affiliates (3.4) (3.0) (5.5)
Noncontrolling interests 103.2 83.3 82.6
Segment Adjusted EBITDA 956.8 823.0 899.6
Capital expenditures 545.6 404.6 391.4
Home Health and Hospice      
Segment Reporting Information [Line Items]      
Net operating revenues 1,106.6 1,078.2 1,092.0
Operating expenses:      
Salaries and benefits 0.0 0.0 0.0
Other operating expenses 0.0 0.0 0.0
Supplies 0.0 0.0 0.0
Occupancy costs 0.0 0.0 0.0
Cost of services (excluding depreciation and amortization) 489.3 511.3 506.2
Support and overhead costs 406.2 402.8 381.7
Total operating expenses 895.5 914.1 887.9
Other income (1.6) 0.0 0.0
Equity in net income of nonconsolidated affiliates (0.6) (0.5) (1.2)
Noncontrolling interests 1.8 1.3 9.5
Segment Adjusted EBITDA 211.5 163.3 195.8
Capital expenditures $ 5.6 $ 3.6 $ 12.7