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Business Combinations - Net Cash Paid for Acquisitions (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
May 01, 2018
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Business Acquisition [Line Items]          
Net cash paid for acquisition       $ 135.8 $ 36.6
Home Health and Hospice Segment [Member] | Camellia Healthcare [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired $ 41.0        
Goodwill 97.0        
Fair value of liabilities assumed (8.3)        
Net cash paid for acquisition $ 129.7        
Home Health and Hospice Segment [Member] | Golden Age and MSA [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired   $ 0.0 $ 2.7 1.0 5.4
Goodwill   0.0 13.1 5.1 20.5
Fair value of liabilities assumed   0.0 (0.1) 0.0 (0.2)
Net cash paid for acquisition   0.0 15.7 6.1 25.7
Inpatient Rehabilitation Segment [Member] | Murrells Inlet [Member]          
Business Acquisition [Line Items]          
Fair value of assets acquired   9.7 5.4 9.7 11.0
Goodwill   6.4 9.0 6.4 24.0
Fair value of noncontrolling interest owned by joint venture partner   (16.1) (14.4) (16.1) (24.1)
Net cash paid for acquisition   $ 0.0 $ 0.0 $ 0.0 $ 10.9