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Financial Information for Subsidiary Guarantors and Non-Guarantor Subsidiaries under Select's 6.375% Senior Notes - Consolidating Statement of Operations (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Condensed Consolidating Statement of Operations                      
Net operating revenues $ 1,039,205 $ 1,021,123 $ 887,065 $ 795,343 $ 771,608 $ 758,069 $ 772,762 $ 762,578 $ 3,742,736 $ 3,065,017 $ 2,975,648
Costs and expenses:                      
Cost of services                 3,211,541 2,582,340 2,495,476
General and administrative                 92,052 85,247 76,921
Bad debt expense                 59,372 44,600 37,423
Depreciation and amortization                 104,981 68,354 64,392
Total costs and expenses                 3,467,946 2,780,541 2,674,212
Income (loss) from operations 62,300 48,214 85,011 79,265 57,822 66,017 82,193 78,444 274,790 284,476 301,436
Other income and expense:                      
Gain on sale of equity investment                 29,647    
Equity in earnings of unconsolidated subsidiaries                 16,811 7,044 2,476
Loss on early retirement of debt                   (2,277) (18,747)
Interest expense                 (112,816) (85,446) (87,364)
Income before income taxes                 208,432 203,797 197,801
Income tax expense (benefit)                 72,436 75,622 74,792
Net income                 135,996 128,175 123,009
Less: Net income attributable to non-controlling interests                 5,260 7,548 8,619
Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation 29,327 29,406 36,940 35,063 25,712 26,530 35,341 33,044 130,736 120,627 114,390
Select                      
Condensed Consolidating Statement of Operations                      
Net operating revenues 1,039,205 1,021,123 887,065 795,343 771,608 758,069 772,762 762,578 3,742,736 3,065,017 2,975,648
Costs and expenses:                      
Cost of services                 3,211,541 2,582,340 2,495,476
General and administrative                 92,052 85,247 76,921
Bad debt expense                 59,372 44,600 37,423
Depreciation and amortization                 104,981 68,354 64,392
Total costs and expenses                 3,467,946 2,780,541 2,674,212
Income (loss) from operations 62,300 48,214 85,011 79,265 57,822 66,017 82,193 78,444 274,790 284,476 301,436
Other income and expense:                      
Gain on sale of equity investment                 29,647    
Equity in earnings of unconsolidated subsidiaries                 16,811 7,044 2,476
Loss on early retirement of debt                   (2,277) (17,788)
Interest expense                 (112,816) (85,446) (84,954)
Income before income taxes                 208,432 203,797 201,170
Income tax expense (benefit)                 72,436 75,622 75,971
Net income                 135,996 128,175 125,199
Less: Net income attributable to non-controlling interests                 5,260 7,548 8,619
Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation $ 29,327 $ 29,406 $ 36,940 $ 35,063 $ 25,712 $ 26,530 $ 35,341 $ 33,044 130,736 120,627 116,580
Select | Reportable legal entities | Select Medical Corporation (Parent Company Only)                      
Condensed Consolidating Statement of Operations                      
Net operating revenues                 724 721 350
Costs and expenses:                      
Cost of services                 2,029 2,015 1,757
General and administrative                 88,227 86,311 76,709
Depreciation and amortization                 4,292 3,723 3,746
Total costs and expenses                 94,548 92,049 82,212
Income (loss) from operations                 (93,824) (91,328) (81,862)
Other income and expense:                      
Intercompany interest and royalty fees                 (1,417) (1,142) (1,326)
Intercompany management fees                 143,939 142,273 144,447
Loss on early retirement of debt                   (2,277) (17,788)
Interest expense                 (58,350) (57,651) (58,100)
Income before income taxes                 (9,652) (10,125) (14,629)
Income tax expense (benefit)                 (7,869) (4,333) (1,238)
Equity in earnings of subsidiaries                 132,520 126,419 129,971
Net income                 130,737 120,627 116,580
Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation                 130,737 120,627 116,580
Select | Reportable legal entities | Subsidiary Guarantors                      
Condensed Consolidating Statement of Operations                      
Net operating revenues                 2,673,987 2,634,480 2,576,906
Costs and expenses:                      
Cost of services                 2,266,647 2,209,724 2,155,370
General and administrative                 (890) (1,064) 212
Bad debt expense                 40,541 38,052 31,173
Depreciation and amortization                 56,447 54,876 51,825
Total costs and expenses                 2,362,745 2,301,588 2,238,580
Income (loss) from operations                 311,242 332,892 338,326
Other income and expense:                      
Intercompany interest and royalty fees                 1,387 1,131 836
Intercompany management fees                 (119,388) (120,528) (125,357)
Gain on sale of equity investment                 29,647    
Equity in earnings of unconsolidated subsidiaries                 16,719 6,958 2,384
Interest expense                 (24,250) (23,367) (22,916)
Income before income taxes                 215,357 197,086 193,273
Income tax expense (benefit)                 85,907 78,748 76,837
Equity in earnings of subsidiaries                 9,117 8,995 14,561
Net income                 138,567 127,333 130,997
Less: Net income attributable to non-controlling interests                   623 995
Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation                 138,567 126,710 130,002
Select | Reportable legal entities | Non-Guarantor Subsidiaries                      
Condensed Consolidating Statement of Operations                      
Net operating revenues                 482,803 429,816 398,392
Costs and expenses:                      
Cost of services                 414,518 370,601 338,349
Bad debt expense                 9,240 6,548 6,250
Depreciation and amortization                 10,598 9,755 8,821
Total costs and expenses                 434,356 386,904 353,420
Income (loss) from operations                 48,447 42,912 44,972
Other income and expense:                      
Intercompany interest and royalty fees                 30 11 490
Intercompany management fees                 (24,551) (21,745) (19,090)
Equity in earnings of unconsolidated subsidiaries                 92 86 92
Interest expense                 (6,154) (4,428) (3,938)
Income before income taxes                 17,864 16,836 22,526
Income tax expense (benefit)                 (470) 1,207 372
Net income                 18,334 15,629 22,154
Less: Net income attributable to non-controlling interests                 9,144 6,925 7,624
Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation                 9,190 8,704 14,530
Select | Reportable legal entities | Non-Guarantor Concentra                      
Condensed Consolidating Statement of Operations                      
Net operating revenues                 585,222    
Costs and expenses:                      
Cost of services                 528,347    
General and administrative                 4,715    
Bad debt expense                 9,591    
Depreciation and amortization                 33,644    
Total costs and expenses                 576,297    
Income (loss) from operations                 8,925    
Other income and expense:                      
Interest expense                 (24,062)    
Income before income taxes                 (15,137)    
Income tax expense (benefit)                 (5,132)    
Net income                 (10,005)    
Less: Net income attributable to non-controlling interests                 (3,884)    
Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation                 (6,121)    
Select | Eliminations                      
Other income and expense:                      
Equity in earnings of subsidiaries                 (141,637) (135,414) (144,532)
Net income                 (141,637) (135,414) (144,532)
Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation                 $ (141,637) $ (135,414) $ (144,532)