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Goodwill and Other Intangible Assets - Carrying Amounts of Goodwill (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Schedule of Changes in the Carrying Amount of Goodwill      
Goodwill, Beginning Balance $ 1,927.2 $ 1,890.1 $ 1,084.0
Acquisitions 45.4 51.4 806.1
Divestiture of pediatric home health services   (14.3)  
Goodwill, Ending Balance 1,972.6 1,927.2 1,890.1
Inpatient Rehabilitation Segment [Member]      
Schedule of Changes in the Carrying Amount of Goodwill      
Goodwill, Beginning Balance 1,142.0 1,133.1 491.5
Acquisitions 24.0 8.9 641.6
Divestiture of pediatric home health services   0.0  
Goodwill, Ending Balance 1,166.0 1,142.0 1,133.1
Home Health and Hospice Segment [Member]      
Schedule of Changes in the Carrying Amount of Goodwill      
Goodwill, Beginning Balance 785.2 757.0 592.5
Acquisitions 21.4 42.5 164.5
Divestiture of pediatric home health services   (14.3)  
Goodwill, Ending Balance $ 806.6 $ 785.2 $ 757.0