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Segment Reporting Segment Reporting - Selected Financial Information of Reportable Segments (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 Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net operating revenues | $ 949.9 | $ 926.8 | $ 920.7 | $ 909.8 | $ 879.3 | $ 778.6 | $ 764.4 | $ 740.6 | $ 3,707.2 | $ 3,162.9 | $ 2,405.9
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | (61.2) | (47.2) | (31.6)
Net operating revenues less provision for doubtful accounts |  |  |  |  |  |  |  |  | 3,646.0 | 3,115.7 | 2,374.3
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Salaries and benefits |  |  |  |  |  |  |  |  | 1,985.9 | 1,670.8 | 1,161.7
Other operating expenses |  |  |  |  |  |  |  |  | 492.1 | 432.1 | 351.6
Supplies |  |  |  |  |  |  |  |  | 140.0 | 128.7 | 111.9
Total segment level operating expenses |  |  |  |  |  |  |  |  | 2,997.2 | 2,569.0 | 1,906.9
Other income |  |  |  |  |  |  |  |  | (2.9) | (5.5) | (31.2)
Equity in net income of nonconsolidated affiliates |  |  |  |  |  |  |  |  | (9.8) | (8.7) | (10.7)
Noncontrolling interests | $ (16.8) | $ (16.4) | $ (18.6) | $ (18.7) | $ (18.8) | $ (17.1) | $ (17.3) | $ (16.5) | (70.5) | (69.7) | (59.7)
Inpatient Rehabilitation Segment [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net operating revenues |  |  |  |  |  |  |  |  | 3,021.1 | 2,653.1 | 2,377.3
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | (57.0) | (44.7) | (31.2)
Net operating revenues less provision for doubtful accounts |  |  |  |  |  |  |  |  | 2,964.1 | 2,608.4 | 2,346.1
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Salaries and benefits |  |  |  |  |  |  |  |  | 1,493.4 | 1,310.6 | 1,141.0
Other operating expenses |  |  |  |  |  |  |  |  | 431.5 | 387.7 | 342.5
Supplies |  |  |  |  |  |  |  |  | 128.8 | 120.9 | 111.5
Occupancy costs |  |  |  |  |  |  |  |  | 61.2 | 46.2 | 41.2
Cost of services sold (excluding depreciation and amortization) |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 0.0
Support and overhead costs |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 0.0
Total segment level operating expenses |  |  |  |  |  |  |  |  | 2,114.9 | 1,865.4 | 1,636.2
Other income |  |  |  |  |  |  |  |  | (2.9) | (2.3) | (4.0)
Equity in net income of nonconsolidated affiliates |  |  |  |  |  |  |  |  | (9.1) | (8.6) | (10.7)
Noncontrolling interests |  |  |  |  |  |  |  |  | 64.0 | 62.9 | 59.3
Segment Adjusted EBITDA |  |  |  |  |  |  |  |  | 797.2 | 691.0 | 665.3
Capital expenditures |  |  |  |  |  |  |  |  | 97.7 | 151.7 | 187.9
Home Health and Hospice Segment [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net operating revenues |  |  |  |  |  |  |  |  | 686.1 | 509.8 | 28.6
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | (4.2) | (2.5) | (0.4)
Net operating revenues less provision for doubtful accounts |  |  |  |  |  |  |  |  | 681.9 | 507.3 | 28.2
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Salaries and benefits |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 0.0
Other operating expenses |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 0.0
Supplies |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 0.0
Occupancy costs |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 0.0
Cost of services sold (excluding depreciation and amortization) |  |  |  |  |  |  |  |  | 336.5 | 244.8 | 17.0
Support and overhead costs |  |  |  |  |  |  |  |  | 237.2 | 172.7 | 6.9
Total segment level operating expenses |  |  |  |  |  |  |  |  | 573.7 | 417.5 | 23.9
Other income |  |  |  |  |  |  |  |  | 0.0 | 0.0 | 0.0
Equity in net income of nonconsolidated affiliates |  |  |  |  |  |  |  |  | (0.7) | (0.1) | 0.0
Noncontrolling interests |  |  |  |  |  |  |  |  | 6.5 | 6.8 | 0.4
Segment Adjusted EBITDA |  |  |  |  |  |  |  |  | 102.4 | 83.1 | 3.9
Capital expenditures |  |  |  |  |  |  |  |  | $ 6.5 | $ 5.8 | $ 0.0

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