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Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of carrying amount of 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 
Schedule of gross carrying amounts, accumulated amortization, and net carrying value for 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 
Schedule of future estimated amortization expense for finite-lived intangible assets
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