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Segment Reporting (Tables)
 9 Months Ended
Sep. 30, 2018
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
Selected financial information for our reportable segments is as follows (in millions):
 
Inpatient Rehabilitation
 
Home Health and Hospice
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2018
 
2017
 
2018
 
2017
 
2018
 
2017
 
2018
 
2017
Net operating revenues
$
825.6

 
$
783.5

 
$
2,500.5

 
$
2,338.9

 
$
242.0

 
$
198.1

 
$
680.8

 
$
566.2

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Inpatient rehabilitation:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Salaries and benefits
423.6

 
403.2

 
1,264.3

 
1,195.7

 
—

 
—

 
—

 
—

Other operating expenses
124.3

 
117.4

 
374.1

 
342.1

 
—

 
—

 
—

 
—

Supplies
33.6

 
33.1

 
104.2

 
100.6

 
—

 
—

 
—

 
—

Occupancy costs
15.9

 
15.7

 
47.4

 
46.3

 
—

 
—

 
—

 
—

Home health and hospice:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cost of services sold (excluding depreciation and amortization)
—

 
—

 
—

 
—

 
114.6

 
92.1

 
322.3

 
267.3

Support and overhead costs
—

 
—

 
—

 
—

 
82.4

 
68.9

 
235.2

 
203.4

 
597.4

 
569.4

 
1,790.0

 
1,684.7

 
197.0

 
161.0

 
557.5

 
470.7

Other income
(1.8
)
 
(1.0
)
 
(3.5
)
 
(2.9
)
 
—

 
—

 
(0.5
)
 
—

Equity in net income of nonconsolidated affiliates
(1.9
)
 
(1.9
)
 
(5.5
)
 
(5.6
)
 
(0.2
)
 
(0.2
)
 
(0.9
)
 
(0.6
)
Noncontrolling interests
19.0

 
16.7

 
59.3

 
48.6

 
2.0

 
2.5

 
6.4

 
4.6

Segment Adjusted EBITDA
$
212.9

 
$
200.3

 
$
660.2

 
$
614.1

 
$
43.2

 
$
34.8

 
$
118.3

 
$
91.5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Capital expenditures
$
64.5

 
$
59.1

 
$
181.1

 
$
164.7

 
$
1.7

 
$
1.7

 
$
7.7

 
$
5.6
Reconciliation of Assets from Segment to Consolidated
 
September 30, 2018
 
December 31, 2017
Total assets for reportable segments
$
5,172.4

 
$
4,939.6

Reclassification of deferred income tax liabilities to net deferred income tax assets
(40.5
)
 
(45.9
)
Total consolidated assets
$
5,131.9

 
$
4,893.7

 
Inpatient Rehabilitation
 
Home Health and Hospice
 
Encompass Health Consolidated
As of September 30, 2018
 
 
 
 
 
Total assets
$
3,875.1

 
$
1,297.3

 
$
5,131.9

Investments in and advances to nonconsolidated affiliates
9.8

 
2.9

 
12.7

As of December 31, 2017
 
 
 
 
 
Total assets
$
3,789.1

 
$
1,150.5

 
$
4,893.7

Investments in and advances to nonconsolidated affiliates
9.3

 
2.6

 
11.9
Reconciliation of Segment Adjusted EBITDA to Income from Continuing Operations Before Income Tax Expense
Segment reconciliations (in millions):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2018
 
2017
 
2018
 
2017
Total segment Adjusted EBITDA
$
256.1

 
$
235.1

 
$
778.5

 
$
705.6

General and administrative expenses
(49.9
)
 
(39.7
)
 
(165.9
)
 
(128.6
)
Depreciation and amortization
(51.2
)
 
(46.2
)
 
(146.8
)
 
(137.2
)
Gain (loss) on disposal of assets
1.0

 
(3.0
)
 
(2.2
)
 
(3.3
)
Loss on early extinguishment of debt
—

 
(0.3
)
 
—

 
(10.7
)
Interest expense and amortization of debt discounts and fees
(37.3
)
 
(36.8
)
 
(110.6
)
 
(118.5
)
Net income attributable to noncontrolling interests
20.7

 
19.2

 
63.5

 
53.2

SARs mark-to-market impact on noncontrolling interests
0.3

 
—

 
2.2

 
—

Change in fair market value of equity securities
(0.1
)
 
—

 
(1.1
)
 
—

Income from continuing operations before income tax expense
$
139.6

 
$
128.3

 
$
417.6

 
$
360.5
Reconciliation of Revenue from Segments to Consolidated
Additional detail regarding the revenues of our operating segments by service line follows (in millions):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2018
 
2017
 
2018
 
2017
Inpatient rehabilitation:
 
 
 
 
 
 
 
Inpatient
$
798.4

 
$
758.2

 
$
2,425.1

 
$
2,262.4

Outpatient and other
27.2

 
25.3

 
75.4

 
76.5

Total inpatient rehabilitation
825.6

 
783.5

 
2,500.5

 
2,338.9

Home health and hospice:
 
 
 
 
 
 
 
Home health
209.2

 
180.3

 
599.3

 
516.1

Hospice
32.8

 
17.8

 
81.5

 
50.1

Total home health and hospice
242.0

 
198.1

 
680.8

 
566.2

Total net operating revenues
$
1,067.6

 
$
981.6

 
$
3,181.3

 
$
2,905.1