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Segment Reporting - Segment Reporting Information, Reconciliation of Net Operating Revenues to Segment Adjusted EBITDA (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | $ 1,330.5 | $ 1,287.7 | $ 2,664.1 | $ 2,518.1
Operating expenses: |  |  |  |
Salaries and benefits | 773.8 | 708.2 | 1,549.8 | 1,395.4
Other operating expenses | 193.4 | 172.7 | 375.5 | 335.0
Supplies | 52.8 | 50.0 | 108.9 | 101.9
Occupancy costs | 19.3 | 20.2 | 40.2 | 40.4
Total operating expenses | 1,168.4 | 1,068.7 | 2,318.1 | 2,091.4
Other expense (income) | 6.3 | (4.6) | 9.9 | (6.0)
Equity in net income of nonconsolidated affiliates | (1.0) | (1.0) | (1.9) | (2.0)
Noncontrolling interests | 22.6 | 28.7 | 45.2 | 54.2
Inpatient Rehabilitation |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | 1,062.5 | 1,001.6 | 2,121.8 | 1,961.5
Operating expenses: |  |  |  |
Salaries and benefits | 585.9 | 515.9 | 1,173.3 | 1,017.8
Other operating expenses | 166.4 | 147.5 | 324.7 | 287.5
Supplies | 47.4 | 44.1 | 97.2 | 89.3
Occupancy costs | 13.8 | 15.0 | 29.2 | 30.1
Cost of service (excluding depreciation and amortization) | 0.0 | 0.0 | 0.0 | 0.0
Support and overhead costs | 0.0 | 0.0 | 0.0 | 0.0
Total operating expenses | 813.5 | 722.5 | 1,624.4 | 1,424.7
Other expense (income) | 3.1 | (2.3) | 4.2 | (3.8)
Equity in net income of nonconsolidated affiliates | (1.0) | (0.8) | (1.9) | (1.6)
Noncontrolling interests | 21.9 | 28.2 | 43.9 | 53.3
Segment Adjusted EBITDA | 225.0 | 254.0 | 451.2 | 488.9
Capital expenditures | 117.5 | 120.4 | 235.3 | 220.2
Home Health and Hospice |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net operating revenues | 268.0 | 286.1 | 542.3 | 556.6
Operating expenses: |  |  |  |
Salaries and benefits | 0.0 | 0.0 | 0.0 | 0.0
Other operating expenses | 0.0 | 0.0 | 0.0 | 0.0
Supplies | 0.0 | 0.0 | 0.0 | 0.0
Occupancy costs | 0.0 | 0.0 | 0.0 | 0.0
Cost of service (excluding depreciation and amortization) | 124.2 | 122.6 | 248.6 | 240.7
Support and overhead costs | 99.3 | 103.1 | 198.5 | 204.5
Total operating expenses | 223.5 | 225.7 | 447.1 | 445.2
Other expense (income) | 0.0 | (1.6) | 0.0 | (1.6)
Equity in net income of nonconsolidated affiliates | 0.0 | (0.2) | 0.0 | (0.4)
Noncontrolling interests | 0.7 | 0.5 | 1.3 | 0.9
Segment Adjusted EBITDA | 43.8 | 61.7 | 93.9 | 112.5
Capital expenditures | $ 2.6 | $ 2.2 | $ 4.9 | $ 3.1

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