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Segment Reporting - Selected Financial Information of Reportable Segments (Details) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Reporting Information [Line Items]      
Net operating revenues $ 5,373.2 $ 4,801.2 $ 4,348.6
Less:      
Salaries and benefits 2,901.0 2,600.1 2,393.3
Other operating expenses 802.6 719.1 670.4
Supplies 239.0 218.3 202.1
Occupancy costs 57.3 56.3 54.7
General and administrative expenses 209.2 201.7 154.3
Net income attributable to noncontrolling interests 140.9 111.0 94.9
Adjusted EBITDA 1,103.7 971.1 819.3
Inpatient Rehabilitation      
Segment Reporting Information [Line Items]      
Net operating revenues 5,373.2 4,801.2 4,348.6
Less:      
Salaries and benefits 2,901.0 2,600.1 2,393.3
Other operating expenses 785.2 709.3 665.6
Supplies 239.0 218.3 202.1
Occupancy costs 57.3 56.3 54.7
General and administrative expenses 156.1 146.5 130.4
Net income attributable to noncontrolling interests 148.2 113.2 93.6
Other (income) expense (17.3) (13.6) (10.4)
Adjusted EBITDA $ 1,103.7 $ 971.1 $ 819.3