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Segment Reporting
 12 Months Ended
Dec. 31, 2021
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting:
Our internal financial reporting and management structure is focused on the major types of services provided by Encompass Health. We manage our operations using two operating segments which are also our reportable segments: (1) inpatient rehabilitation and (2) home health and hospice. These reportable operating segments are consistent with information used by our chief executive officer, who is our chief operating decision maker, to assess performance and allocate resources. The following is a brief description of our reportable segments:
•Inpatient Rehabilitation - Our national network of inpatient rehabilitation hospitals stretches across 35 states and Puerto Rico, with a concentration of hospitals in the eastern half of the United States and Texas. As of December 31, 2021, we operate 145 inpatient rehabilitation hospitals. We are the sole owner of 91 of these hospitals. We retain 50.0% to 97.5% ownership in the remaining 54 jointly owned hospitals. In addition, we manage three inpatient rehabilitation units through management contracts. We provide specialized rehabilitative treatment on both an inpatient and outpatient basis. Our inpatient rehabilitation hospitals provide a higher level of rehabilitative care to patients who are recovering from conditions such as stroke and other neurological disorders, cardiac and pulmonary conditions, brain and spinal cord injuries, complex orthopedic conditions, and amputations.
•Home Health and Hospice - As of December 31, 2021, we provide home health services in 251 locations and hospice services in 96 locations across 34 states with a concentration in the southern half of the United States. We are the sole owner of 336 of these locations. We retain 50.0% to 90.0% ownership in the remaining 11 jointly owned locations. Our home health services include a comprehensive range of Medicare-certified home nursing services to adult patients in need of care. These services include, among others, skilled nursing, physical, occupational, and speech therapy, medical social work, and home health aide services. Hospice care focuses on the quality of life for patients who are experiencing an advanced, life limiting illness while treating the person and symptoms of the disease, rather than the disease itself.
The accounting policies of our reportable segments are the same as those described in Note 1, Summary of Significant Accounting Policies. All revenues for our services are generated through external customers. See Note 1, Summary of Significant Accounting Policies, “Net Operating Revenues,” for the disaggregation of our revenues. No corporate overhead is allocated to either of our reportable segments. Our chief operating decision maker evaluates the performance of our segments and allocates resources to them based on adjusted earnings before interest, taxes, depreciation, and amortization (“Segment Adjusted EBITDA”).
Selected financial information for our reportable segments is as follows (in millions):
Inpatient RehabilitationHome Health and Hospice
For the Year Ended December 31,For the Year Ended December 31,
202120202019202120202019
Net operating revenues$4,015.0 $3,566.2 $3,513.0 $1,106.6 $1,078.2 $1,092.0 
Operating expenses:
Inpatient rehabilitation:
Salaries and benefits
2,127.3 1,903.8 1,813.1 — — — 
Other operating expenses
594.8 534.7 521.9 — — — 
Supplies
184.2 171.0 147.0 — — — 
Occupancy costs
59.0 61.4 64.8 — — — 
Home health and hospice:
Cost of services (excluding depreciation and amortization)— — — 489.3 511.3 506.2 
Support and overhead costs
— — — 406.2 402.8 381.7 
2,965.3 2,670.9 2,546.8 895.5 914.1 887.9 
Other income(6.9)(8.0)(10.5)(1.6)— — 
Equity in net income of nonconsolidated affiliates
(3.4)(3.0)(5.5)(0.6)(0.5)(1.2)
Noncontrolling interests103.2 83.3 82.6 1.8 1.3 9.5 
Segment Adjusted EBITDA
$956.8 $823.0 $899.6 $211.5 $163.3 $195.8 
Capital expenditures$545.6 $404.6 $391.4 $5.6 $3.6 $12.7 
Inpatient RehabilitationHome Health and HospiceEncompass Health Consolidated
As of December 31, 2021
Total assets$5,143.0 $1,721.9 $6,864.9 
Investments in and advances to nonconsolidated affiliates
2.4 1.6 4.0 
As of December 31, 2020
Total assets$4,834.7 $1,611.2 $6,445.9 
Investments in and advances to nonconsolidated affiliates
1.5 4.0 5.5 
    Segment reconciliations (in millions):
For the Year Ended December 31,
202120202019
Total Segment Adjusted EBITDA$1,168.3 $986.3 $1,095.4 
General and administrative expenses(197.3)(155.5)(247.0)
Depreciation and amortization(256.6)(243.0)(218.7)
Loss on disposal or impairment of assets(0.4)(11.6)(11.1)
Government, class action, and related settlements— (2.8)— 
Loss on early extinguishment of debt(1.0)(2.3)(7.7)
Interest expense and amortization of debt discounts and fees(164.6)(184.2)(159.7)
Net income attributable to noncontrolling interests105.0 84.6 87.1 
SARs mark-to-market impact on noncontrolling interests— — 5.0 
Change in fair market value of equity securities0.6 0.4 0.8 
Gain on consolidation of joint venture formerly accounted for under the equity method of accounting3.2 2.2 19.2 
Payroll taxes on SARs exercise— (1.5)(1.0)
Income from continuing operations before income tax expense$657.2 $472.6 $562.3 
Additional detail regarding the revenues of our operating segments by service line follows (in millions):
For the Year Ended December 31,
202120202019
Inpatient rehabilitation:
Inpatient$3,918.1 $3,496.1 $3,423.5 
Outpatient and other96.9 70.1 89.5 
Total inpatient rehabilitation4,015.0 3,566.2 3,513.0 
Home health and hospice:
Home health897.3 877.6 918.0 
Hospice209.3 200.6 174.0 
Total home health and hospice1,106.6 1,078.2 1,092.0 
Total net operating revenues$5,121.6 $4,644.4 $4,605.0