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Segment Information (Tables)
3 Months Ended
Mar. 31, 2022
Segment Reporting [Abstract]  
Schedule of selected financial data for reportable segments
The following tables summarize selected financial data for the Company’s reportable segments.
 Three Months Ended March 31,
 20212022
 (in thousands)
Revenue:  
Critical illness recovery hospital$594,872 $601,755 
Rehabilitation hospital207,804 220,634 
Outpatient rehabilitation251,961 271,940 
Concentra422,840 423,423 
Other68,986 81,795 
Total Company$1,546,463 $1,599,547 
Adjusted EBITDA:  
Critical illness recovery hospital$113,272 $35,967 
Rehabilitation hospital50,534 42,379 
Outpatient rehabilitation26,329 26,596 
Concentra82,015 89,469 
Other(1)
(13,809)(30,564)
Total Company$258,341 $163,847 
Total assets:  
Critical illness recovery hospital$2,233,067 $2,367,490 
Rehabilitation hospital1,188,387 1,187,118 
Outpatient rehabilitation1,321,268 1,350,374 
Concentra2,468,157 2,339,940 
Other709,902 291,022 
Total Company$7,920,781 $7,535,944 
Purchases of property and equipment:  
Critical illness recovery hospital$14,385 $19,569 
Rehabilitation hospital665 6,274 
Outpatient rehabilitation7,335 9,414 
Concentra12,680 10,240 
Other4,654 1,348 
Total Company$39,719 $46,845 
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(1)     For the three months ended March 31, 2021, Adjusted EBITDA included other operating income of $16.1 million related to the recognition of payments received under the Provider Relief Fund for health care related expenses and loss of revenue attributable to the coronavirus disease 2019 (“COVID-19”).
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 March 31, 2021
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Adjusted EBITDA$113,272 $50,534 $26,329 $82,015 $(13,809) 
Depreciation and amortization(13,050)(7,060)(7,191)(19,898)(2,421) 
Stock compensation expense— — — (536)(6,173) 
Income (loss) from operations$100,222 $43,474 $19,138 $61,581 $(22,403)$202,012 
Equity in earnings of unconsolidated subsidiaries    9,919 
Interest income4,749 
Interest expense    (34,402)
Income before income taxes    $182,278 
 Three Months Ended March 31, 2022
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Adjusted EBITDA$35,967 $42,379 $26,596 $89,469 $(30,564) 
Depreciation and amortization(14,618)(6,802)(8,029)(18,812)(2,778) 
Stock compensation expense— — — (535)(8,288) 
Income (loss) from operations$21,349 $35,577 $18,567 $70,122 $(41,630)$103,985 
Equity in earnings of unconsolidated subsidiaries    5,397 
Interest expense    (35,514)
Income before income taxes    $73,868