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Segment Reporting Segment Reporting - Reconciliation of Adjusted EBITDA (Details) - USD ($) $ in Millions | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2015 | Sep. 30, 2015 | Jun. 30, 2015 | Mar. 31, 2015 | Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |  |  |  |  |  |  |  |
General and administrative expenses |  |  |  |  |  |  |  |  | $ (133.4) | $ (133.3) | $ (124.8)
Depreciation and amortization |  |  |  |  |  |  |  |  | (172.6) | (139.7) | (107.7)
Government, class action, and related settlements |  |  |  |  |  |  |  |  | 0.0 | (7.5) | 1.7
Professional fees - accounting, tax, and legal |  |  |  |  |  |  |  |  | (1.9) | (3.0) | (9.3)
Loss on early extinguishment of debt |  |  |  |  |  |  |  |  | (7.4) | (22.4) | (13.2)
Gain on consolidation of former equity method hospital |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 27.2
Net income attributable to noncontrolling interests | $ 16.8 | $ 16.4 | $ 18.6 | $ 18.7 | $ 18.8 | $ 17.1 | $ 17.3 | $ 16.5 | 70.5 | 69.7 | 59.7
Income from continuing operations before income tax expense |  |  |  |  |  |  |  |  | 482.0 | 395.6 | 386.9
Inpatient Rehabilitation Hospital and Home Health and Hospice [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total segment Adjusted EBITDA |  |  |  |  |  |  |  |  | 899.6 | 774.1 | 669.2
Segment Reconciling Items [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |  |  |  |  |  |  |  |
General and administrative expenses |  |  |  |  |  |  |  |  | (133.4) | (133.3) | (124.8)
Depreciation and amortization |  |  |  |  |  |  |  |  | (172.6) | (139.7) | (107.7)
Loss on disposal or impairment of assets |  |  |  |  |  |  |  |  | (0.7) | (2.6) | (6.7)
Government, class action, and related settlements |  |  |  |  |  |  |  |  | 0.0 | (7.5) | 1.7
Professional fees - accounting, tax, and legal |  |  |  |  |  |  |  |  | (1.9) | (3.0) | (9.3)
Loss on early extinguishment of debt |  |  |  |  |  |  |  |  | (7.4) | (22.4) | (13.2)
Interest expense and amortization of debt discounts and fees |  |  |  |  |  |  |  |  | (172.1) | (142.9) | (109.2)
Gain on consolidation of former equity method hospital |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 27.2
Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 70.5 | 69.7 | 59.7
Gain related to SCA equity interest |  |  |  |  |  |  |  |  | $ 0.0 | $ 3.2 | $ 0.0

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- Definition This item represents the difference between the gross realized gains and losses realized on the sale of debt or equity securities categorized neither as held-to-maturity nor trading securities. Additionally, this item would include any losses recognized for other than temporary impairments (OTTI) of the subject investments in debt and equity securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 320 -SubTopic 10 -Section 50 -Paragraph 9 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=73527792&loc=d3e27357-111563 + Details
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- Definition The aggregate expense recognized in the current period that allocates the cost of tangible assets, intangible assets, or depleting assets to periods that benefit from use of the assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3602-108585 + Details
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- Definition Difference between the fair value of payments made and the carrying amount of debt which is extinguished prior to maturity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 50 -Section 40 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=49170532&loc=d3e12317-112629 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3602-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 50 -Section 40 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=49170532&loc=d3e12355-112629 + Details
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- Definition The aggregate total of expenses of managing and administering the affairs of an entity, including affiliates of the reporting entity, which are not directly or indirectly associated with the manufacture, sale or creation of a product or product line. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.4) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
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