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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
Mar. 31, 2022
Mar. 31, 2021
Segment Reporting Information [Line Items]    
Net operating revenues $ 1,333.6 $ 1,230.4
Operating expenses:    
Salaries and benefits 776.0 687.2
Other operating expenses 182.1 162.3
Supplies 56.1 51.9
Occupancy costs 20.9 20.2
Total operating expenses 1,149.7 1,022.7
Other expense (income) 3.6 (1.4)
Equity in net income of nonconsolidated affiliates (0.9) (1.0)
Noncontrolling interests 22.6 25.5
Inpatient Rehabilitation    
Segment Reporting Information [Line Items]    
Net operating revenues 1,059.3 959.9
Operating expenses:    
Salaries and benefits 587.4 501.9
Other operating expenses 158.3 140.0
Supplies 49.8 45.2
Occupancy costs 15.4 15.1
Cost of service (excluding depreciation and amortization) 0.0 0.0
Support and overhead costs 0.0 0.0
Total operating expenses 810.9 702.2
Other expense (income) 1.1 (1.5)
Equity in net income of nonconsolidated affiliates (0.9) (0.8)
Noncontrolling interests 22.0 25.1
Segment Adjusted EBITDA 226.2 234.9
Capital expenditures 117.8 99.8
Home Health and Hospice    
Segment Reporting Information [Line Items]    
Net operating revenues 274.3 270.5
Operating expenses:    
Salaries and benefits 0.0 0.0
Other operating expenses 0.0 0.0
Supplies 0.0 0.0
Occupancy costs 0.0 0.0
Cost of service (excluding depreciation and amortization) 124.4 118.1
Support and overhead costs 99.2 101.4
Total operating expenses 223.6 219.5
Other expense (income) 0.0 0.0
Equity in net income of nonconsolidated affiliates 0.0 (0.2)
Noncontrolling interests 0.6 0.4
Segment Adjusted EBITDA 50.1 50.8
Capital expenditures $ 2.3 $ 0.9