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Segment Reporting (Tables)

6 Months Ended

Jun. 30, 2021

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 June 30,												Six Months Ended June 30,												Three Months Ended June 30,												Six Months Ended June 30,
			2021						2020						2021						2020						2021						2020						2021						2020
Net operating revenues			$	1,001.6					$	824.5					$	1,961.5					$	1,733.7					$	286.1					$	249.6					$	556.6					$	522.4
Operating expenses:
Inpatient rehabilitation:
Salaries and benefits			515.9						451.4						1,017.8						933.7						—						—						—						—
Other operating expenses			147.5						124.3						287.5						259.0						—						—						—						—
Supplies			44.1						42.0						89.3						81.6						—						—						—						—
Occupancy costs			15.0						15.4						30.1						30.7						—						—						—						—
Home health and hospice:
Cost of service (excluding depreciation and amortization)			—						—						—						—						122.6						136.7						240.7						267.6
Support and overhead costs			—						—						—						—						103.1						98.3						204.5						198.5
			722.5						633.1						1,424.7						1,305.0						225.7						235.0						445.2						466.1
Other income			(2.3)						(3.4)						(3.8)						(1.8)						(1.6)						—						(1.6)						—
Equity in net income of nonconsolidated affiliates			(0.8)						(0.6)						(1.6)						(1.2)						(0.2)						(0.1)						(0.4)						(0.3)
Noncontrolling interests			28.2						15.1						53.3						35.9						0.5						(0.3)						0.9						0.6
Segment Adjusted EBITDA			$	254.0					$	180.3					$	488.9					$	395.8					$	61.7					$	15.0					$	112.5					$	56.0
Capital expenditures			$	120.4					$	88.9					$	220.2					$	172.2					$	2.2					$	0.6					$	3.1					$	2.1

Reconciliation of Segment Adjusted EBITDA to Income from Continuing Operations Before Income Tax Expense

Segment reconciliations (in millions):

			Three Months Ended June 30,												Six Months Ended June 30,
			2021						2020						2021						2020
Total Segment Adjusted EBITDA			$	315.7					$	195.3					$	601.4					$	451.8
General and administrative expenses			(54.2)						(43.0)						(92.8)						(78.6)
Depreciation and amortization			(63.4)						(60.7)						(125.9)						(119.5)
Loss on disposal or impairment of assets			(2.9)						(3.0)						(2.8)						(3.1)
Government, class action, and related settlements			—						—						—						(2.8)
Loss on early extinguishment of debt			(1.0)						—						(1.0)						—
Interest expense and amortization of debt discounts and fees			(41.8)						(45.8)						(84.6)						(89.0)
Net income attributable to noncontrolling interests			28.7						14.8						54.2						36.5
Change in fair market value of equity securities			0.7						2.4						0.6						(0.1)
Gain on consolidation of joint venture formerly accounted for under the equity method of accounting			—						—						—						2.2
Payroll taxes on SARs exercise			—						—						—						(1.5)
Income from continuing operations before income tax expense			$	181.8					$	60.0					$	349.1					$	195.9

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 June 30,												Six Months Ended June 30,
			2021						2020						2021						2020
Inpatient rehabilitation:
Inpatient			$	976.9					$	808.0					$	1,919.2					$	1,698.0
Outpatient and other			24.7						16.5						42.3						35.7
Total inpatient rehabilitation			1,001.6						824.5						1,961.5						1,733.7
Home health and hospice:
Home health			232.3						201.8						452.2						426.6
Hospice			53.8						47.8						104.4						95.8
Total home health and hospice			286.1						249.6						556.6						522.4
Total net operating revenues			$	1,287.7					$	1,074.1					$	2,518.1					$	2,256.1

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- Definition

Tabular disclosure of all significant reconciling items in the reconciliation segment adjusted EBITDA to income from continuing operations before income tax expense.

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Tabular disclosure of all significant reconciling items in the reconciliation of total revenues from reportable segments to the entity's consolidated revenues.

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-Name Accounting Standards Codification
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Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

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