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Segment Information (Tables)
12 Months Ended
Dec. 31, 2023
Segment Reporting [Abstract]  
Schedule of selected financial data
The following tables summarize selected financial data for the Company’s reportable segments.
 For the Year Ended December 31, 2021
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Revenue$2,246,772 $849,340 $1,084,361 $1,732,041 $292,001 $6,204,515 
Adjusted EBITDA267,993 184,704 138,275 389,616 (33,229)947,359 
Total assets2,304,116 1,194,136 1,348,316 2,275,345 238,258 7,360,171 
Capital expenditures65,690 13,003 36,301 46,787 18,756 180,537 
 For the Year Ended December 31, 2022
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Revenue$2,234,132 $916,763 $1,125,282 $1,724,359 $333,002 $6,333,538 
Adjusted EBITDA111,344 198,034 101,860 334,337 (98,712)646,863 
Total assets2,484,542 1,200,767 1,371,123 2,281,647 327,214 7,665,293 
Capital expenditures79,524 14,426 40,677 45,983 9,762 190,372 
 For the Year Ended December 31, 2023
 Critical Illness Recovery HospitalsRehabilitation HospitalsOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Revenue$2,299,773 $979,585 $1,188,914 $1,838,081 $357,705 $6,664,058 
Adjusted EBITDA246,015 221,875 111,868 361,334 (133,667)807,425 
Total assets2,496,886 1,233,888 1,380,447 2,330,206 248,204 7,689,631 
Capital expenditures93,036 21,922 38,776 69,340 6,126 229,200 
Schedule of reconciliation of Adjusted EBITDA to income before income taxes
A reconciliation of Adjusted EBITDA to income before income taxes is as follows:
 For the Year Ended December 31, 2021
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Adjusted EBITDA$267,993 $184,704 $138,275 $389,616 $(33,229) 
Depreciation and amortization(53,094)(27,677)(29,592)(82,210)(10,072) 
Stock compensation expense— — — (2,142)(28,798) 
Income (loss) from operations$214,899 $157,027 $108,683 $305,264 $(72,099)$713,774 
Equity in earnings of unconsolidated subsidiaries    44,428 
Gain on sale of businesses2,155 
Interest income5,350 
Interest expense    (135,985)
Income before income taxes    $629,722 
 For the Year Ended December 31, 2022
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Adjusted EBITDA$111,344 $198,034 $101,860 $334,337 $(98,712) 
Depreciation and amortization(61,565)(27,814)(32,663)(73,667)(10,116) 
Stock compensation expense— — — (2,141)(35,614) 
Income (loss) from operations$49,779 $170,220 $69,197 $258,529 $(144,442)$403,283 
Equity in earnings of unconsolidated subsidiaries    26,407 
Interest expense    (169,111)
Income before income taxes    $260,579 

 For the Year Ended December 31, 2023
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraOtherTotal
 (in thousands)
Adjusted EBITDA$246,015 $221,875 $111,868 $361,334 $(133,667) 
Depreciation and amortization(63,865)(28,055)(35,210)(73,051)(8,561) 
Stock compensation expense— — — (651)(43,158) 
Income (loss) from operations$182,150 $193,820 $76,658 $287,632 $(185,386)$554,874 
Loss on early retirement of debt    (14,692)
Equity in earnings of unconsolidated subsidiaries    40,813 
Interest expense    (198,639)
Income before income taxes    $382,356