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Segment Reporting - Table 1 (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2017 | Sep. 30, 2016 | Sep. 30, 2017 | Sep. 30, 2016
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | $ 995.6 | $ 926.8 | $ 2,951.7 | $ 2,757.3
Less: Provision for doubtful accounts |  |  | (42.7) | (46.7)
Net operating revenues less provision for doubtful accounts | 983.0 | 912.0 | 2,909.0 | 2,710.6
Costs and Expenses [Abstract] |  |  |  |
Salaries and benefits | 542.1 | 497.4 | 1,600.0 | 1,469.6
Other operating expenses | 137.6 | 126.3 | 397.2 | 367.0
Supplies | 36.5 | 34.8 | 110.6 | 104.2
Occupancy costs | 18.6 | 17.6 | 54.8 | 53.5
Total operating expenses | 820.7 | 749.9 | 2,428.4 | 2,221.6
Other income | (1.0) | (0.8) | (2.9) | (2.1)
Equity in net income of nonconsolidated affiliates | (2.1) | (2.5) | (6.2) | (7.3)
Net income attributable to noncontrolling interests | 19.2 | 16.4 | 53.2 | 53.7
Inpatient Rehabilitation Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | 794.8 | 751.7 | 2,377.3 | 2,253.5
Less: Provision for doubtful accounts | (11.3) | (13.7) | (38.4) | (43.8)
Net operating revenues less provision for doubtful accounts | 783.5 | 738.0 | 2,338.9 | 2,209.7
Costs and Expenses [Abstract] |  |  |  |
Salaries and benefits | 403.2 | 371.2 | 1,195.7 | 1,107.2
Other operating expenses | 117.4 | 110.1 | 342.1 | 321.7
Supplies | 33.1 | 31.9 | 100.6 | 96.1
Occupancy costs | 15.7 | 15.0 | 46.3 | 46.0
Total operating expenses | 569.4 | 528.2 | 1,684.7 | 1,571.0
Other income | (1.0) | (0.8) | (2.9) | (2.1)
Equity in net income of nonconsolidated affiliates | (1.9) | (2.3) | (5.6) | (6.7)
Net income attributable to noncontrolling interests | 16.7 | 14.3 | 48.6 | 47.9
Segment Adjusted EBITDA | 200.3 | 198.6 | 614.1 | 599.6
Capital Expenditures | 59.1 | 42.7 | 164.7 | 128.9
Home Health and Hospice Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | 200.8 | 175.1 | 574.4 | 503.8
Less: Provision for doubtful accounts | (1.3) | (1.1) | (4.3) | (2.9)
Net operating revenues less provision for doubtful accounts | 199.5 | 174.0 | 570.1 | 500.9
Costs and Expenses [Abstract] |  |  |  |
Cost of services sold (excluding depreciation and amortization) | 93.5 | 86.8 | 271.2 | 246.8
Support and overhead costs | 68.9 | 59.5 | 203.4 | 174.5
Total operating expenses | 162.4 | 146.3 | 474.6 | 421.3
Other income | 0.0 | 0.0 | 0.0 | 0.0
Equity in net income of nonconsolidated affiliates | (0.2) | (0.2) | (0.6) | (0.6)
Net income attributable to noncontrolling interests | 2.5 | 2.1 | 4.6 | 5.8
Segment Adjusted EBITDA | 34.8 | 25.8 | 91.5 | 74.4
Capital Expenditures | $ 1.7 | $ 2.2 | $ 5.6 | $ 4.6

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