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Segment Reporting - Selected Financial Information of Reportable Segments (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Segment Reporting Information [Line Items]        
Net operating revenues $ 1,477.5 $ 1,351.0 $ 4,390.6 $ 3,968.2
Costs and Expenses [Abstract]        
Salaries and benefits 784.8 732.1 2,314.8 2,144.2
Occupancy costs 14.9 14.4 44.5 42.6
Supplies 64.6 60.6 189.9 176.7
General and administrative expenses 56.1 54.0 167.8 154.7
Net income attributable to noncontrolling interests 48.1 38.9 135.9 97.6
Adjusted EBITDA 300.1 269.3 932.3 814.1
Inpatient Rehabilitation        
Segment Reporting Information [Line Items]        
Net operating revenues 1,477.5 1,351.0 4,390.6 3,968.2
Costs and Expenses [Abstract]        
Salaries and benefits 784.8 732.1 2,314.8 2,144.2
Other operating expenses 229.2 201.8 660.0 584.9
Occupancy costs 14.9 14.4 44.5 42.6
Supplies 64.6 60.6 189.9 176.7
General and administrative expenses 39.6 39.1 124.6 114.3
Net income attributable to noncontrolling interests 48.1 38.9 135.9 104.9
Other segment items (3.8) (5.2) (11.4) (13.5)
Adjusted EBITDA $ 300.1 $ 269.3 $ 932.3 $ 814.1