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Segment Reporting (Tables)

9 Months Ended

Sep. 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 September 30,												Nine Months Ended September 30,												Three Months Ended September 30,												Nine Months Ended September 30,
			2021						2020						2021						2020						2021						2020						2021						2020
Net operating revenues			$	1,010.9					$	899.4					$	2,972.4					$	2,633.1					$	273.9					$	274.5					$	830.5					$	796.9
Operating expenses:
Inpatient rehabilitation:
Salaries and benefits			537.1						475.0						1,554.9						1,408.7						—						—						—						—
Other operating expenses			156.2						135.5						443.7						394.5						—						—						—						—
Supplies			46.8						45.3						136.1						126.9						—						—						—						—
Occupancy costs			14.4						15.3						44.5						46.0						—						—						—						—
Home health and hospice:
Cost of service (excluding depreciation and amortization)			—						—						—						—						124.0						121.8						364.7						389.4
Support and overhead costs			—						—						—						—						103.2						100.7						307.7						299.2
			754.5						671.1						2,179.2						1,976.1						227.2						222.5						672.4						688.6
Other income			(0.7)						(2.1)						(4.5)						(3.9)						—						—						(1.6)						—
Equity in net income of nonconsolidated affiliates			(0.8)						(0.9)						(2.4)						(2.1)						(0.1)						(0.1)						(0.5)						(0.4)
Noncontrolling interests			26.3						22.1						79.6						58.0						0.4						0.3						1.3						0.9
Segment Adjusted EBITDA			$	231.6					$	209.2					$	720.5					$	605.0					$	46.4					$	51.8					$	158.9					$	107.8
Capital expenditures			$	127.4					$	90.4					$	347.6					$	262.6					$	1.9					$	0.5					$	5.0					$	2.6

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,
			2021						2020						2021						2020
Total Segment Adjusted EBITDA			$	278.0					$	261.0					$	879.4					$	712.8
General and administrative expenses			(43.9)						(39.1)						(136.7)						(117.7)
Depreciation and amortization			(64.9)						(61.2)						(190.8)						(180.7)
Gain (loss) on disposal or impairment of assets			5.2						(7.5)						2.4						(10.6)
Government, class action, and related settlements			—						—						—						(2.8)
Loss on early extinguishment of debt			—						—						(1.0)						—
Interest expense and amortization of debt discounts and fees			(39.9)						(49.0)						(124.5)						(138.0)
Net income attributable to noncontrolling interests			26.7						22.4						80.9						58.9
Change in fair market value of equity securities			(0.3)						0.4						0.3						0.3
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			$	160.9					$	127.0					$	510.0					$	322.9

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 September 30,												Nine Months Ended September 30,
			2021						2020						2021						2020
Inpatient rehabilitation:
Inpatient			$	983.7					$	883.2					$	2,902.9					$	2,581.2
Outpatient and other			27.2						16.2						69.5						51.9
Total inpatient rehabilitation			1,010.9						899.4						2,972.4						2,633.1
Home health and hospice:
Home health			221.1						223.3						673.3						649.9
Hospice			52.8						51.2						157.2						147.0
Total home health and hospice			273.9						274.5						830.5						796.9
Total net operating revenues			$	1,284.8					$	1,173.9					$	3,802.9					$	3,430.0

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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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