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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 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,330.5 $ 1,287.7 $ 2,664.1 $ 2,518.1
Operating expenses:        
Salaries and benefits 773.8 708.2 1,549.8 1,395.4
Other operating expenses 193.4 172.7 375.5 335.0
Supplies 52.8 50.0 108.9 101.9
Occupancy costs 19.3 20.2 40.2 40.4
Total operating expenses 1,168.4 1,068.7 2,318.1 2,091.4
Other expense (income) 6.3 (4.6) 9.9 (6.0)
Equity in net income of nonconsolidated affiliates (1.0) (1.0) (1.9) (2.0)
Noncontrolling interests 22.6 28.7 45.2 54.2
Inpatient Rehabilitation        
Segment Reporting Information [Line Items]        
Net operating revenues 1,062.5 1,001.6 2,121.8 1,961.5
Operating expenses:        
Salaries and benefits 585.9 515.9 1,173.3 1,017.8
Other operating expenses 166.4 147.5 324.7 287.5
Supplies 47.4 44.1 97.2 89.3
Occupancy costs 13.8 15.0 29.2 30.1
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 813.5 722.5 1,624.4 1,424.7
Other expense (income) 3.1 (2.3) 4.2 (3.8)
Equity in net income of nonconsolidated affiliates (1.0) (0.8) (1.9) (1.6)
Noncontrolling interests 21.9 28.2 43.9 53.3
Segment Adjusted EBITDA 225.0 254.0 451.2 488.9
Capital expenditures 117.5 120.4 235.3 220.2
Home Health and Hospice        
Segment Reporting Information [Line Items]        
Net operating revenues 268.0 286.1 542.3 556.6
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) 124.2 122.6 248.6 240.7
Support and overhead costs 99.3 103.1 198.5 204.5
Total operating expenses 223.5 225.7 447.1 445.2
Other expense (income) 0.0 (1.6) 0.0 (1.6)
Equity in net income of nonconsolidated affiliates 0.0 (0.2) 0.0 (0.4)
Noncontrolling interests 0.7 0.5 1.3 0.9
Segment Adjusted EBITDA 43.8 61.7 93.9 112.5
Capital expenditures $ 2.6 $ 2.2 $ 4.9 $ 3.1