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Segment Information - Reconciliation of Adjusted EBITDA to Income Before Taxes (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Segment information      
Other cost of services $ (4,823,535) $ (4,553,461) $ (4,254,369)
Depreciation and amortization (140,303) (142,866) (135,691)
Stock compensation expense (16,702) (99,214) (43,158)
Loss on early retirement of debt 0 (28,845) (14,692)
Equity in earnings of unconsolidated subsidiaries 54,521 63,904 41,339
Interest expense (117,942) (128,605) (154,165)
Income from continuing operations before income taxes 272,749 174,769 139,724
Operating Segments | Critical Illness Recovery Hospital      
Segment information      
Adjusted EBITDA 265,447 301,634 246,015
Operating Segments | Rehabilitation Hospital      
Segment information      
Adjusted EBITDA 278,622 245,748 221,875
Operating Segments | Outpatient Rehabilitation      
Segment information      
Adjusted EBITDA 90,163 108,577 111,868
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment      
Segment information      
Other revenue 401,189 382,023 357,705
Other cost of services (401,189) (382,023) (357,705)
Other general and administrative expenses (141,129) (145,939) (134,153)
Other operating income 72 375 486
Depreciation and amortization (140,303) (142,866) (135,691)
Stock compensation expense (16,702) (99,214) (43,158)
Loss on early retirement of debt 0 (28,845) (14,692)
Equity in earnings of unconsolidated subsidiaries 54,521 63,904 41,339
Interest expense $ (117,942) $ (128,605) $ (154,165)