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Intangible Assets - Carrying Amount of Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Goodwill    
Balance at the beginning of the year $ 3,484,200 $ 3,448,912
Acquisition of businesses 28,970 22,037
Measurement period adjustment   13,251
Balance at the end of the year 3,513,170 3,484,200
Critical Illness Recovery Hospital    
Goodwill    
Balance at the beginning of the year 1,151,196 1,131,440
Acquisition of businesses 6,606 6,505
Measurement period adjustment   13,251
Balance at the end of the year 1,157,802 1,151,196
Rehabilitation Hospital    
Goodwill    
Balance at the beginning of the year 442,155 442,155
Acquisition of businesses 16,185 0
Measurement period adjustment   0
Balance at the end of the year 458,340 442,155
Outpatient Rehabilitation    
Goodwill    
Balance at the beginning of the year 664,978 654,125
Acquisition of businesses 2,305 10,853
Measurement period adjustment   0
Balance at the end of the year 667,283 664,978
Concentra    
Goodwill    
Balance at the beginning of the year 1,225,871 1,221,192
Acquisition of businesses 3,874 4,679
Measurement period adjustment   0
Balance at the end of the year $ 1,229,745 $ 1,225,871