XML 61 R52.htm IDEA: XBRL DOCUMENT v3.7.0.1
Business Combinations - Fair Value of Assets and Liabilities Assumed (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Nov. 30, 2015
Oct. 31, 2015
Dec. 31, 2013
Business Acquisition [Line Items]            
Goodwill $ 1,927.2 $ 1,890.1 $ 1,084.0     $ 456.9
All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Total current assets     12.1      
Property and equipment     36.9      
Goodwill     34.6      
Total assets acquired     99.8      
Total current liabilities assumed     7.8      
Total long-term liabilities     13.4      
Total liabilities assumed     21.2      
Noncontrolling interests     18.3      
Net assets acquired     78.6      
Noncompete Agreements [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life     0.4      
Noncompete Agreements [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   3 years        
Trade Names [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life     2.9      
Trade Names [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   20 years        
Trade Names [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   5 years        
Certificate of Need [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life     10.8      
Certificate of Need [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   20 years        
Certificate of Need [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   10 years        
Licenses [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life     2.1      
Licenses [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   20 years        
Licenses [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   10 years        
Home Health and Hospice Segment [Member]            
Business Acquisition [Line Items]            
Goodwill 785.2 $ 757.0 592.5     0.0
Home Health and Hospice Segment [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Property and equipment   0.1        
Goodwill 41.4 20.3        
Total assets acquired 48.5 30.7        
Total liabilities assumed 0.4 0.2        
Net assets acquired 48.1 30.5        
Home Health and Hospice Segment [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Cash and cash equivalents       $ 0.4    
Accounts receivable       10.5    
Prepaid expenses and other current assets       2.0    
Property and equipment       0.7    
Goodwill       143.3    
Investment in noconsolidated affiliates, acquired       2.2    
Total assets acquired       191.7    
Current portion of long-term debt       0.1    
Accounts payable       2.7    
Accrued payroll       2.4    
Other current liabilities       2.8    
Long-term debt       0.2    
Deferred tax liabilities       9.5    
Total liabilities assumed       17.7    
Noncontrolling interests       4.3    
Net assets acquired       169.7    
Home Health and Hospice Segment [Member] | Encompass [Member]            
Business Acquisition [Line Items]            
Cash and cash equivalents     20.9      
Accounts receivable     37.6      
Prepaid expenses and other current assets     8.6      
Property and equipment     9.6      
Goodwill     592.5      
Other long-term assets     2.1      
Total assets acquired     873.5      
Current portion of long-term debt     2.0      
Accounts payable     0.9      
Accrued payroll     25.8      
Other current liabilities     18.5      
Long-term debt     2.0      
Deferred tax liabilities     64.3      
Total liabilities assumed     113.5      
Noncontrolling interests     64.5      
Net assets acquired     695.5      
Home Health and Hospice Segment [Member] | Software Development [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life       0.4    
Home Health and Hospice Segment [Member] | Software Development [Member] | Encompass [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life     $ 3.2      
Finite-lived intangible asset useful life     3 years      
Home Health and Hospice Segment [Member] | Noncompete Agreements [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life $ 1.1 1.3        
Finite-lived intangible asset useful life 5 years          
Home Health and Hospice Segment [Member] | Noncompete Agreements [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life       0.8    
Home Health and Hospice Segment [Member] | Noncompete Agreements [Member] | Encompass [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life     $ 5.6      
Home Health and Hospice Segment [Member] | Trade Names [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life $ 0.7 $ 0.5        
Finite-lived intangible asset useful life 1 year 1 year        
Home Health and Hospice Segment [Member] | Trade Names [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life       2.8    
Home Health and Hospice Segment [Member] | Certificate of Need [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life $ 1.9 $ 4.9        
Finite-lived intangible asset useful life 10 years 10 years        
Home Health and Hospice Segment [Member] | Certificate of Need [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life       15.6    
Home Health and Hospice Segment [Member] | Licenses [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life $ 3.4 $ 3.6        
Finite-lived intangible asset useful life 10 years 10 years        
Home Health and Hospice Segment [Member] | Licenses [Member] | CareSouth [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life       $ 13.0    
Home Health and Hospice Segment [Member] | Licenses [Member] | Encompass [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life     $ 58.2      
Finite-lived intangible asset useful life     10 years      
Inpatient Rehabilitation Segment [Member]            
Business Acquisition [Line Items]            
Goodwill $ 1,142.0 $ 1,133.1 $ 491.5     $ 456.9
Inpatient Rehabilitation Segment [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Total current assets   10.1        
Property and equipment 5.3 42.7        
Goodwill 9.4 0.7        
Total assets acquired 16.1 63.4        
Total liabilities assumed 16.1 2.7        
Noncontrolling interests   4.2        
Net assets acquired   60.7        
Inpatient Rehabilitation Segment [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Cash and cash equivalents         $ 42.6  
Accounts receivable         25.7  
Prepaid expenses and other current assets         2.8  
Property and equipment         220.6  
Goodwill         642.6  
Other long-term assets         0.9  
Total assets acquired         1,001.8  
Current portion of long-term debt         4.1  
Accounts payable         1.7  
Accrued payroll         3.7  
Other current liabilities         10.8  
Long-term debt         205.8  
Deferred tax liabilities         3.9  
Total liabilities assumed         230.0  
Noncontrolling interests         0.4  
Net assets acquired         771.4  
Inpatient Rehabilitation Segment [Member] | Noncompete Agreements [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life 0.4 0.1        
Inpatient Rehabilitation Segment [Member] | Noncompete Agreements [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life         9.7  
Inpatient Rehabilitation Segment [Member] | Trade Names [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life $ 1.0 $ 0.8        
Finite-lived intangible asset useful life 20 years 20 years        
Inpatient Rehabilitation Segment [Member] | Trade Names [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life         8.9  
Inpatient Rehabilitation Segment [Member] | Certificate of Need [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life   $ 8.8        
Finite-lived intangible asset useful life   20 years        
Inpatient Rehabilitation Segment [Member] | Certificate of Need [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life         36.6  
Inpatient Rehabilitation Segment [Member] | Licenses [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life   $ 0.2        
Finite-lived intangible asset useful life   20 years        
Inpatient Rehabilitation Segment [Member] | Licenses [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Finite life         $ 11.4  
Trade Names [Member] | Home Health and Hospice Segment [Member] | Encompass [Member]            
Business Acquisition [Line Items]            
Identifiable intangible assets, Indefinite life     $ 135.2      
Minimum [Member] | Noncompete Agreements [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 1 year          
Minimum [Member] | Noncompete Agreements [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   1 year        
Minimum [Member] | Trade Names [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 1 year          
Minimum [Member] | Certificate of Need [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 10 years          
Minimum [Member] | Licenses [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 10 years          
Minimum [Member] | Home Health and Hospice Segment [Member] | Noncompete Agreements [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   2 years        
Minimum [Member] | Home Health and Hospice Segment [Member] | Noncompete Agreements [Member] | Encompass [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life     2 years      
Minimum [Member] | Inpatient Rehabilitation Segment [Member] | Noncompete Agreements [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 1 year 2 years        
Maximum [Member] | Noncompete Agreements [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 18 years          
Maximum [Member] | Noncompete Agreements [Member] | Reliant [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   2 years        
Maximum [Member] | Trade Names [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 20 years          
Maximum [Member] | Certificate of Need [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 30 years          
Maximum [Member] | Licenses [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 20 years          
Maximum [Member] | Home Health and Hospice Segment [Member] | Noncompete Agreements [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life   5 years        
Maximum [Member] | Home Health and Hospice Segment [Member] | Noncompete Agreements [Member] | Encompass [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life     5 years      
Maximum [Member] | Inpatient Rehabilitation Segment [Member] | Noncompete Agreements [Member] | All Other Acquisitions [Member]            
Business Acquisition [Line Items]            
Finite-lived intangible asset useful life 3 years 3 years