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Segment Reporting - Table 1 (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | $ 1,067.7 | $ 966.4 | $ 2,113.7 | $ 1,923.5
Costs and Expenses [Abstract] |  |  |  |
Salaries and benefits | 578.2 | 527.8 | 1,148.4 | 1,057.9
Other operating expenses | 149.4 | 129.3 | 290.6 | 257.1
Supplies | 39.3 | 37.1 | 79.2 | 74.1
Occupancy costs | 19.5 | 18.3 | 38.1 | 36.2
Total operating expenses | 891.0 | 810.7 | 1,767.9 | 1,605.2
Other income | (1.3) | (0.9) | (1.2) | (1.9)
Equity in net income of nonconsolidated affiliates | (2.0) | (2.0) | (4.3) | (4.1)
Net income attributable to noncontrolling interests | 21.4 | 16.4 | 42.8 | 34.0
Inpatient Rehabilitation Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | 834.6 | 777.6 | 1,674.9 | 1,555.4
Costs and Expenses [Abstract] |  |  |  |
Salaries and benefits | 416.5 | 394.3 | 840.7 | 792.5
Other operating expenses | 126.9 | 112.9 | 249.8 | 224.7
Supplies | 34.7 | 33.8 | 70.6 | 67.5
Occupancy costs | 16.0 | 15.5 | 31.5 | 30.6
Total operating expenses | 594.1 | 556.5 | 1,192.6 | 1,115.3
Other income | (1.2) | (0.9) | (1.7) | (1.9)
Equity in net income of nonconsolidated affiliates | (1.6) | (1.8) | (3.6) | (3.7)
Net income attributable to noncontrolling interests | 19.8 | 15.4 | 40.3 | 31.9
Segment Adjusted EBITDA | 223.5 | 208.4 | 447.3 | 413.8
Capital Expenditures | 54.4 | 62.6 | 116.6 | 105.8
Home Health and Hospice Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | 233.1 | 188.8 | 438.8 | 368.1
Costs and Expenses [Abstract] |  |  |  |
Cost of services sold (excluding depreciation and amortization) | 109.1 | 87.5 | 207.7 | 175.2
Support and overhead costs | 80.8 | 67.7 | 152.8 | 134.5
Total operating expenses | 189.9 | 155.2 | 360.5 | 309.7
Other income | (0.5) | 0.0 | (0.5) | 0.0
Equity in net income of nonconsolidated affiliates | (0.4) | (0.2) | (0.7) | (0.4)
Net income attributable to noncontrolling interests | 2.5 | 1.0 | 4.4 | 2.1
Segment Adjusted EBITDA | 41.6 | 32.8 | 75.1 | 56.7
Capital Expenditures | $ 4.3 | $ 2.2 | $ 6.0 | $ 3.9

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