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Segment Information - Selected Financial Data (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Segment information          
Net operating revenues $ 1,423,869 $ 1,393,343 $ 4,071,219 $ 4,079,338  
Adjusted EBITDA 213,204 182,665 579,289 539,015  
Total assets 7,659,877 7,154,756 7,659,877 7,154,756 $ 7,340,288
Purchases of property and equipment 34,319 34,671 105,572 123,956  
Operating Segments | Critical Illness Recovery Hospital          
Segment information          
Net operating revenues 519,454 462,892 1,539,601 1,381,569  
Adjusted EBITDA 88,830 57,247 267,143 194,383  
Total assets 2,160,157 2,116,512 2,160,157 2,116,512  
Purchases of property and equipment 11,126 12,254 35,061 36,902  
Operating Segments | Rehabilitation Hospital          
Segment information          
Net operating revenues 188,075 173,369 538,761 488,301  
Adjusted EBITDA 44,637 36,780 110,811 92,545  
Total assets 1,144,436 1,121,260 1,144,436 1,121,260  
Purchases of property and equipment 1,636 5,293 6,884 23,832  
Operating Segments | Outpatient Rehabilitation          
Segment information          
Net operating revenues 240,042 265,330 662,429 774,126  
Adjusted EBITDA 30,623 40,040 51,463 111,615  
Total assets 1,298,938 1,280,712 1,298,938 1,280,712  
Purchases of property and equipment 7,268 7,476 22,245 23,221  
Operating Segments | Concentra          
Segment information          
Net operating revenues 391,859 421,900 1,102,732 1,231,672  
Adjusted EBITDA 80,547 77,679 183,510 220,024  
Total assets 2,355,644 2,366,227 2,355,644 2,366,227  
Purchases of property and equipment 11,985 8,240 34,391 36,178  
Other          
Segment information          
Net operating revenues 84,439 69,852 227,696 203,670  
Adjusted EBITDA (31,433) (29,081) (33,638) (79,552)  
Total assets 700,702 270,045 700,702 270,045  
Purchases of property and equipment $ 2,304 $ 1,408 $ 6,991 $ 3,823