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Intangible Assets
 12 Months Ended
Dec. 31, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible Assets Intangible Assets
Goodwill
The following table shows changes in the carrying amounts of goodwill by reporting unit for the years ended December 31, 2024 and 2025:
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation		Total
 (in thousands)
Balance as of January 1, 2024$1,157,802 $458,340 $667,283 $2,283,425 
Acquisition of businesses8,000 38,367 1,666 48,033 
Measurement period adjustment— 440 — 440 
Balance as of December 31, 20241,165,802 497,147 668,949 2,331,898 
Acquisition of businesses7,773 20,450 781 29,004 
Balance as of December 31, 2025$1,173,575 $517,597 $669,730 $2,360,902 
Identifiable Intangible Assets
The following table provides the gross carrying amounts, accumulated amortization, and net carrying amounts for the Company’s identifiable intangible assets:
 December 31,
 20242025
 Gross
Carrying
Amount		Accumulated
Amortization		Net
Carrying
Amount		Gross
Carrying
Amount		Accumulated
Amortization		Net
Carrying
Amount
 (in thousands)
Indefinite-lived intangible assets:      
Trademarks$61,798 $— $61,798 $61,798 $— $61,798 
Certificates of need26,393 — 26,393 26,318 — 26,318 
Accreditations1,775 — 1,775 1,775 — 1,775 
Finite-lived intangible assets:     
Non-compete agreements31,735 (18,518)13,217 29,133 (18,224)10,909 
Total identifiable intangible assets$121,701 $(18,518)$103,183 $119,024 $(18,224)$100,800 
The Company’s accreditations and trademarks have renewal terms and the costs to renew these intangible assets are expensed as incurred. At December 31, 2025, the accreditations and trademarks have a weighted average time until next renewal of 1.5 years and 5.4 years, respectively.
The Company’s finite-lived intangible assets amortize over their estimated useful lives. Amortization expense was $1.6 million for the years ended December 31, 2023, 2024, and 2025.
Estimated amortization expense of the Company’s finite-lived intangible assets for each of the five succeeding years is as follows:
20262027202820292030
(in thousands)
Amortization expense$1,613 $1,613 $1,613 $1,613 $1,607