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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2017
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,
 
2017
 
2016
 
2017
 
2016
 
2017
 
2016
 
2017
 
2016
Net operating revenues
$
794.8

 
$
751.7

 
$
2,377.3

 
$
2,253.5

 
$
200.8

 
$
175.1

 
$
574.4

 
$
503.8

Less: Provision for doubtful accounts
(11.3
)
 
(13.7
)
 
(38.4
)
 
(43.8
)
 
(1.3
)
 
(1.1
)
 
(4.3
)
 
(2.9
)
Net operating revenues less provision for doubtful accounts
783.5

 
738.0

 
2,338.9

 
2,209.7

 
199.5

 
174.0

 
570.1

 
500.9

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Inpatient rehabilitation:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Salaries and benefits
403.2

 
371.2

 
1,195.7

 
1,107.2

 

 

 

 

Other operating expenses
117.4

 
110.1

 
342.1

 
321.7

 

 

 

 

Supplies
33.1

 
31.9

 
100.6

 
96.1

 

 

 

 

Occupancy costs
15.7

 
15.0

 
46.3

 
46.0

 

 

 

 

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

 

 

 

 
93.5

 
86.8

 
271.2

 
246.8

Support and overhead costs

 

 

 

 
68.9

 
59.5

 
203.4

 
174.5

 
569.4

 
528.2

 
1,684.7

 
1,571.0

 
162.4

 
146.3

 
474.6

 
421.3

Other income
(1.0
)
 
(0.8
)
 
(2.9
)
 
(2.1
)
 

 

 

 

Equity in net income of nonconsolidated affiliates
(1.9
)
 
(2.3
)
 
(5.6
)
 
(6.7
)
 
(0.2
)
 
(0.2
)
 
(0.6
)
 
(0.6
)
Noncontrolling interests
16.7

 
14.3

 
48.6

 
47.9

 
2.5

 
2.1

 
4.6

 
5.8

Segment Adjusted EBITDA
$
200.3

 
$
198.6

 
$
614.1

 
$
599.6

 
$
34.8

 
$
25.8

 
$
91.5

 
$
74.4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Capital expenditures
$
59.1

 
$
42.7

 
$
164.7

 
$
128.9

 
$
1.7

 
$
2.2

 
$
5.6

 
$
4.6

Reconciliation of Assets from Segment to Consolidated
 
September 30, 2017
 
December 31, 2016
Total assets for reportable segments
$
4,953.8

 
$
4,753.3

Reclassification of deferred income tax liabilities to net deferred income tax assets
(70.4
)
 
(71.4
)
Total consolidated assets
$
4,883.4

 
$
4,681.9

 
Inpatient Rehabilitation
 
Home Health and Hospice
 
HealthSouth Consolidated
As of September 30, 2017
 
 
 
 
 
Total assets
$
3,812.4

 
$
1,141.4

 
$
4,883.4

Investments in and advances to nonconsolidated affiliates
10.0

 
2.6

 
12.6

As of December 31, 2016
 
 
 
 
 
Total assets
$
3,629.6

 
$
1,123.7

 
$
4,681.9

Investments in and advances to nonconsolidated affiliates
10.6

 
2.4

 
13.0

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,
 
2017
 
2016
 
2017
 
2016
Total segment Adjusted EBITDA
$
235.1

 
$
224.4

 
$
705.6

 
$
674.0

General and administrative expenses
(39.7
)
 
(30.3
)
 
(128.6
)
 
(96.6
)
Depreciation and amortization
(46.2
)
 
(43.5
)
 
(137.2
)
 
(128.8
)
Loss on disposal of assets
(3.0
)
 
(1.6
)
 
(3.3
)
 
(2.0
)
Professional fees—accounting, tax, and legal

 

 

 
(1.9
)
Loss on early extinguishment of debt
(0.3
)
 
(2.6
)
 
(10.7
)
 
(7.4
)
Interest expense and amortization of debt discounts and fees
(36.8
)
 
(42.5
)
 
(118.5
)
 
(130.5
)
Net income attributable to noncontrolling interests
19.2

 
16.4

 
53.2

 
53.7

Income from continuing operations before income tax expense
$
128.3

 
$
120.3

 
$
360.5

 
$
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,
 
2017
 
2016
 
2017
 
2016
Inpatient rehabilitation:
 
 
 
 
 
 
 
Inpatient
$
768.6

 
$
724.1

 
$
2,297.7

 
$
2,164.6

Outpatient and other
26.2

 
27.6

 
79.6

 
88.9

Total inpatient rehabilitation
794.8

 
751.7

 
2,377.3

 
2,253.5

Home health and hospice:
 
 
 
 
 
 
 
Home health
181.2

 
162.0

 
519.4

 
470.0

Hospice
19.6

 
13.1

 
55.0

 
33.8

Total home health and hospice
200.8

 
175.1

 
574.4

 
503.8

Total net operating revenues
$
995.6

 
$
926.8

 
$
2,951.7

 
$
2,757.3