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Segment Reporting - Reconciliation of Adjusted EBITDA (Details) - USD ($) | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |  |  |  |  |  |  |  |
General and administrative expenses |  |  |  |  |  |  |  |  | $ (247,000,000.0) | $ (220,200,000) | $ (171,700,000)
Depreciation and amortization |  |  |  |  |  |  |  |  | (218,700,000) | (199,700,000) | (183,800,000)
Government, class action, and related settlements |  |  |  |  |  |  |  |  | 0 | (52,000,000.0) | 0
Loss on early extinguishment of debt |  |  |  |  |  |  |  |  | (7,700,000) | 0 | (10,700,000)
Net income attributable to noncontrolling interests | $ (22,600,000) | $ (21,900,000) | $ (19,700,000) | $ (22,900,000) | $ (19,600,000) | $ (20,700,000) | $ (21,400,000) | $ (21,400,000) | (87,100,000) | (83,100,000) | (79,100,000)
Gain on consolidation of Yuma |  |  |  |  |  |  |  |  | 19,200,000 | 0 | 0
Income from continuing operations before income tax expense |  |  |  |  |  |  |  |  | 562,300,000 | 493,200,000 | 496,400,000
Inpatient Rehabilitation Hospital and Home Health and Hospice |  |  |  |  |  |  |  |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total segment Adjusted EBITDA |  |  |  |  |  |  |  |  | 1,095,400,000 | 1,034,300,000 | 947,100,000
Segment Reconciling Items |  |  |  |  |  |  |  |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |  |  |  |  |  |  |  |
General and administrative expenses |  |  |  |  |  |  |  |  | (247,000,000.0) | (220,200,000) | (171,700,000)
Depreciation and amortization |  |  |  |  |  |  |  |  | (218,700,000) | (199,700,000) | (183,800,000)
Loss on disposal of assets |  |  |  |  |  |  |  |  | (11,100,000) | (5,700,000) | (4,600,000)
Government, class action, and related settlements |  |  |  |  |  |  |  |  | 0 | (52,000,000.0) | 0
Loss on early extinguishment of debt |  |  |  |  |  |  |  |  | (7,700,000) | 0 | (10,700,000)
Interest expense and amortization of debt discounts and fees |  |  |  |  |  |  |  |  | (159,700,000) | (147,300,000) | (154,400,000)
Net income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 87,100,000 | 83,100,000 | 79,100,000
SARs mark-to-market impact on noncontrolling interests |  |  |  |  |  |  |  |  | 5,000,000.0 | 2,600,000 | 0
Change in fair market value of equity securities |  |  |  |  |  |  |  |  | 800,000 | (1,900,000) | 0
Tax reform impact on noncontrolling interests |  |  |  |  |  |  |  |  | 0 | 0 | (4,600,000)
Gain on consolidation of Yuma |  |  |  |  |  |  |  |  | 19,200,000 | 0 | 0
Payroll taxes on SARs exercise |  |  |  |  |  |  |  |  | $ (1,000,000.0) | $ 0 | $ 0

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