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Basis of Presentation - Net Operating Revenues (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 1,330.5 $ 1,287.7 $ 2,664.1 $ 2,518.1
Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 1,062.5 1,001.6 2,121.8 1,961.5
Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 268.0 286.1 542.3 556.6
Medicare        
Disaggregation of Revenue [Line Items]        
Net operating revenues 900.9 885.7 1,808.2 1,724.1
Medicare | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 690.7 650.8 1,380.8 1,265.3
Medicare | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 210.2 234.9 427.4 458.8
Medicare Advantage        
Disaggregation of Revenue [Line Items]        
Net operating revenues 197.6 183.5 388.1 369.9
Medicare Advantage | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 160.7 153.6 316.7 312.0
Medicare Advantage | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 36.9 29.9 71.4 57.9
Managed care        
Disaggregation of Revenue [Line Items]        
Net operating revenues 141.3 131.3 291.7 257.8
Managed care | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 123.3 114.7 254.8 226.9
Managed care | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 18.0 16.6 36.9 30.9
Medicaid        
Disaggregation of Revenue [Line Items]        
Net operating revenues 50.3 46.0 95.6 88.8
Medicaid | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 47.5 41.8 89.3 80.8
Medicaid | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 2.8 4.2 6.3 8.0
Other third-party payors        
Disaggregation of Revenue [Line Items]        
Net operating revenues 9.4 11.0 19.4 23.1
Other third-party payors | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 9.4 11.0 19.4 23.1
Other third-party payors | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 0.0 0.0 0.0 0.0
Workers’ compensation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 6.0 5.2 12.2 11.0
Workers’ compensation | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 5.9 5.2 12.0 10.9
Workers’ compensation | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 0.1 0.0 0.2 0.1
Patients        
Disaggregation of Revenue [Line Items]        
Net operating revenues 4.1 4.6 9.3 9.7
Patients | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 4.1 4.3 9.2 9.2
Patients | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues 0.0 0.3 0.1 0.5
Other income        
Disaggregation of Revenue [Line Items]        
Net operating revenues 20.9 20.4 39.6 33.7
Other income | Inpatient Rehabilitation        
Disaggregation of Revenue [Line Items]        
Net operating revenues 20.9 20.2 39.6 33.3
Other income | Home Health and Hospice        
Disaggregation of Revenue [Line Items]        
Net operating revenues $ 0.0 $ 0.2 $ 0.0 $ 0.4