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Segment Information (Tables)
 9 Months Ended
Sep. 30, 2019
Segment Reporting [Abstract]  
Schedule of selected financial data for the Company's reportable segments
The following tables summarize selected financial data for the Company’s reportable segments. Prior year results presented herein have been changed to conform to the current presentation.
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2018
 
2019
 
2018
 
2019
 
(in thousands)
Net operating revenues:
 

 
 

 
 

 
 

Critical illness recovery hospital
$
420,108

 
$
462,892

 
$
1,327,236

 
$
1,381,569

Rehabilitation hospital
144,588

 
173,369

 
432,675

 
488,301

Outpatient rehabilitation
245,234

 
265,330

 
743,379

 
774,126

Concentra
404,481

 
421,900

 
1,173,420

 
1,231,672

Other
52,990

 
69,852

 
139,865

 
203,670

Total Company
$
1,267,401

 
$
1,393,343

 
$
3,816,575

 
$
4,079,338

Adjusted EBITDA:
 

 
 

 
 

 
 

Critical illness recovery hospital
$
53,292

 
$
57,247

 
$
186,989

 
$
194,383

Rehabilitation hospital
25,343

 
36,780

 
80,314

 
92,545

Outpatient rehabilitation
34,531

 
40,040

 
107,003

 
111,615

Concentra
68,754

 
77,679

 
199,119

 
220,024

Other
(25,292
)
 
(29,081
)
 
(75,337
)
 
(79,552
)
Total Company
$
156,628

 
$
182,665

 
$
498,088

 
$
539,015

Total assets:
 

 
 

 
 

 
 

Critical illness recovery hospital
$
1,785,336

 
$
2,116,512

 
$
1,785,336

 
$
2,116,512

Rehabilitation hospital
888,342

 
1,121,260

 
888,342

 
1,121,260

Outpatient rehabilitation
991,105

 
1,280,712

 
991,105

 
1,280,712

Concentra
2,201,869

 
2,366,227

 
2,201,869

 
2,366,227

Other
113,529

 
270,045

 
113,529

 
270,045

Total Company
$
5,980,181

 
$
7,154,756

 
$
5,980,181

 
$
7,154,756

Purchases of property and equipment:
 

 
 

 
 

 
 

Critical illness recovery hospital
$
8,134

 
$
12,254

 
$
31,455

 
$
36,902

Rehabilitation hospital
8,769

 
5,293

 
29,766

 
23,832

Outpatient rehabilitation
7,209

 
7,476

 
22,565

 
23,221

Concentra
12,539

 
8,240

 
29,281

 
36,178

Other
2,740

 
1,408

 
7,972

 
3,823

Total Company
$
39,391

 
$
34,671

 
$
121,039

 
$
123,956
Schedule of reconciliation of Adjusted EBITDA to income before income taxes

A reconciliation of Adjusted EBITDA to income before income taxes is as follows:
 
Three Months Ended September 30, 2018
 
Critical Illness Recovery Hospital
 
Rehabilitation Hospital
 
Outpatient
Rehabilitation
 
Concentra
 
Other
 
Total
 
(in thousands)
Adjusted EBITDA
$
53,292

 
$
25,343

 
$
34,531

 
$
68,754

 
$
(25,292
)
 
 

Depreciation and amortization
(11,136
)
 
(6,079
)
 
(6,597
)
 
(24,488
)
 
(2,227
)
 
 

Stock compensation expense
—

 
—

 
—

 
(767
)
 
(5,497
)
 
 

Income (loss) from operations
$
42,156

 
$
19,264

 
$
27,934

 
$
43,499

 
$
(33,016
)
 
$
99,837

Equity in earnings of unconsolidated subsidiaries
 

 
 
 
 

 
 

 
 

 
5,432

Gain on sale of businesses
 
 
 
 
 
 
 
 
 
 
2,139

Interest expense
 

 
 
 
 

 
 

 
 

 
(50,669
)
Income before income taxes
 

 
 
 
 

 
 

 
 

 
$
56,739

 
Three Months Ended September 30, 2019
 
Critical Illness Recovery Hospital
 
Rehabilitation Hospital
 
Outpatient
Rehabilitation
 
Concentra
 
Other
 
Total
 
(in thousands)
Adjusted EBITDA
$
57,247

 
$
36,780

 
$
40,040

 
$
77,679

 
$
(29,081
)
 
 

Depreciation and amortization
(12,484
)
 
(7,234
)
 
(6,887
)
 
(23,989
)
 
(2,347
)
 
 

Stock compensation expense
—

 
—

 
—

 
(768
)
 
(6,050
)
 
 

Income (loss) from operations
$
44,763

 
$
29,546

 
$
33,153

 
$
52,922

 
$
(37,478
)
 
$
122,906

Loss on early retirement of debt
 
 
 
 
 
 
 
 
 
 
(18,643
)
Equity in earnings of unconsolidated subsidiaries
 

 
 
 
 

 
 

 
 

 
6,950

Interest expense
 

 
 
 
 

 
 

 
 

 
(54,336
)
Income before income taxes
 

 
 
 
 

 
 

 
 

 
$
56,877

 
 
Nine Months Ended September 30, 2018
 
Critical Illness Recovery Hospital
 
Rehabilitation Hospital
 
Outpatient
Rehabilitation
 
Concentra
 
Other
 
Total
 
(in thousands)
Adjusted EBITDA
$
186,989

 
$
80,314

 
$
107,003

 
$
199,119

 
$
(75,337
)
 
 

Depreciation and amortization
(34,146
)
 
(17,816
)
 
(19,938
)
 
(70,332
)
 
(6,790
)
 
 

Stock compensation expense
—

 
—

 
—

 
(2,116
)
 
(15,059
)
 
 

U.S. HealthWorks acquisition costs
—

 
—

 
—

 
(2,895
)
 
—

 
 
Income (loss) from operations
$
152,843

 
$
62,498

 
$
87,065

 
$
123,776

 
$
(97,186
)
 
$
328,996

Loss on early retirement of debt
 

 
 
 
 

 
 

 
 

 
(10,255
)
Equity in earnings of unconsolidated subsidiaries
 

 
 
 
 

 
 

 
 

 
14,914

Gain on sale of businesses
 

 
 
 
 

 
 

 
 

 
9,016

Interest expense
 

 
 
 
 

 
 

 
 

 
(147,991
)
Income before income taxes
 

 
 
 
 

 
 

 
 

 
$
194,680


 
Nine Months Ended September 30, 2019
 
Critical Illness Recovery Hospital
 
Rehabilitation Hospital
 
Outpatient
Rehabilitation
 
Concentra
 
Other
 
Total
 
(in thousands)
Adjusted EBITDA
$
194,383

 
$
92,545

 
$
111,615

 
$
220,024

 
$
(79,552
)
 
 

Depreciation and amortization
(38,430
)
 
(20,332
)
 
(20,910
)
 
(73,372
)
 
(7,028
)
 
 

Stock compensation expense
—

 
—

 
—

 
(2,302
)
 
(17,129
)
 
 

Income (loss) from operations
$
155,953

 
$
72,213

 
$
90,705

 
$
144,350

 
$
(103,709
)
 
$
359,512

Loss on early retirement of debt
 
 
 
 
 
 
 
 
 
 
(18,643
)
Equity in earnings of unconsolidated subsidiaries
 

 
 
 
 

 
 

 
 

 
18,710

Gain on sale of businesses
 

 
 
 
 

 
 

 
 

 
6,532

Interest expense
 

 
 
 
 

 
 

 
 

 
(156,611
)
Income before income taxes
 

 
 
 
 

 
 

 
 

 
$
209,500