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Segment Information (Tables) | 12 Months Ended
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Dec. 31, 2025
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, 2023
| Critical Illness Recovery Hospital |  | Rehabilitation Hospital |  | Outpatient Rehabilitation |  |  |  | Other |  | Total
| (in thousands)
Revenue | $ | 2,299,773 |  |  | $ | 979,585 |  |  | $ | 1,188,914 |  |  |  |  | $ | 357,705 |  |  | $ | 4,825,977 |
Personnel expense | 1,326,448 |  |  | 554,899 |  |  | 825,907 |  |  |  |  |  |  |
Other segment items (1) | 727,310 |  |  | 202,811 |  |  | 251,139 |  |  |  |  |  |  |
Adjusted EBITDA | 246,015 |  |  | 221,875 |  |  | 111,868 |  |  |  |  |  |  |
Total assets | 2,496,886 |  |  | 1,233,888 |  |  | 1,380,447 |  |  |  |  | 248,204 |  |  | 5,359,425 |
Capital expenditures | 93,036 |  |  | 21,922 |  |  | 38,776 |  |  |  |  | 6,126 |  |  | 159,860 |
| For the Year Ended December 31, 2024
| Critical Illness Recovery Hospital |  | Rehabilitation Hospital |  | Outpatient Rehabilitation |  |  |  | Other |  | Total
| (in thousands)
Revenue | $ | 2,444,196 |  |  | $ | 1,110,592 |  |  | $ | 1,250,294 |  |  |  |  | $ | 382,023 |  |  | $ | 5,187,105 |
Personnel expense | 1,376,917 |  |  | 629,149 |  |  | 888,290 |  |  |  |  |  |  |
Other segment items (1) | 765,645 |  |  | 235,695 |  |  | 253,427 |  |  |  |  |  |  |
Adjusted EBITDA | 301,634 |  |  | 245,748 |  |  | 108,577 |  |  |  |  |  |  |
Total assets | 2,654,474 |  |  | 1,366,922 |  |  | 1,404,379 |  |  |  |  | 182,176 |  |  | 5,607,951 |
Capital expenditures | 65,861 |  |  | 53,620 |  |  | 36,142 |  |  |  |  | 3,285 |  |  | 158,908 |
| For the Year Ended December 31, 2025
| Critical Illness Recovery Hospital |  | Rehabilitation Hospitals |  | Outpatient Rehabilitation |  |  |  | Other |  | Total
| (in thousands)
Revenue | $ | 2,477,814 |  |  | $ | 1,288,954 |  |  | $ | 1,284,873 |  |  |  |  | $ | 401,189 |  |  | $ | 5,452,830 |
Personnel Expense | 1,404,061 |  |  | 722,897 |  |  | 931,702 |  |  |  |  |  |  |
Other segment items (1) | 808,306 |  |  | 287,435 |  |  | 263,008 |  |  |  |  |  |  |
Adjusted EBITDA | 265,447 |  |  | 278,622 |  |  | 90,163 |  |  |  |  |  |  |
Total assets | 2,669,940 |  |  | 1,602,879 |  |  | 1,399,975 |  |  |  |  | 178,795 |  |  | 5,851,589 |
Capital expenditures | 76,412 |  |  | 112,550 |  |  | 37,250 |  |  |  |  | 3,013 |  |  | 229,225 |
_______________________________________________________________________________ (1) Other segment items consist of facilities expense, other operating expenses, and other operating income.
Schedule of reconciliation of Adjusted EBITDA to income before income taxes | A reconciliation of Adjusted EBITDA to income from continuing operations before income taxes is as follows:
|  | For the Year Ended December 31,
|  | 2023 |  | 2024 |  | 2025
|  | (in thousands)
Adjusted EBITDA - Critical Illness Recovery Hospital Segment |  | $ | 246,015 |  |  | $ | 301,634 |  |  | $ | 265,447 |
Adjusted EBITDA - Rehabilitation Hospital Segment |  | 221,875 |  |  | 245,748 |  |  | 278,622 |
Adjusted EBITDA - Outpatient Rehabilitation Segment |  | 111,868 |  |  | 108,577 |  |  | 90,163 |
Other revenue |  | 357,705 |  |  | 382,023 |  |  | 401,189 |
Other cost of services (1) |  | (357,705) |  |  | (382,023) |  |  | (401,189) |
Other general and administrative expenses (1) |  | (134,153) |  |  | (145,939) |  |  | (141,129) |
Other operating income |  | 486 |  |  | 375 |  |  | 72 |
Depreciation and amortization |  | (135,691) |  |  | (142,866) |  |  | (140,303) |
Stock compensation expense |  | (43,158) |  |  | (99,214) |  |  | (16,702) |
Loss on early retirement of debt |  | (14,692) |  |  | (28,845) |  |  | — |
Equity in earnings of unconsolidated subsidiaries |  | 41,339 |  |  | 63,904 |  |  | 54,521 |
Interest expense |  | (154,165) |  |  | (128,605) |  |  | (117,942) |
Income from continuing operations before income taxes |  | $ | 139,724 |  |  | $ | 174,769 |  |  | $ | 272,749 |
_______________________________________________________________________________ (1) Exclusive of depreciation, amortization, and stock compensation expense.

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- Definition Tabular disclosure of the reconciliation of profit (loss) from reportable segments to the consolidated income (loss) before income tax expense (benefit) and discontinued operations. Includes, but is not limited to, reconciliation after income tax if income tax is allocated to the reportable segment. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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