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Long-Term Debt and Notes Payable - Select Credit Facilities (Details) - Select Excluding Concentra - Credit facility - USD ($)
Mar. 22, 2018
Mar. 06, 2017
2017 Select Credit Facilities    
Long-term debt and notes payable    
Current borrowing capacity   $ 1,600,000,000
Term loan | 2017 Select Credit Facilities    
Long-term debt and notes payable    
Aggregate principal amount   $ 1,150,000,000
Term loan | 2017 Select Credit Facilities | Adjusted LIBO    
Long-term debt and notes payable    
Interest rate margin (as a percent)   3.50%
Term loan | 2017 Select Credit Facilities | Adjusted LIBO Rate floor    
Long-term debt and notes payable    
Interest rate margin (as a percent)   1.00%
Term loan | 2017 Select Credit Facilities | Alternate Base Rate    
Long-term debt and notes payable    
Interest rate margin (as a percent)   2.50%
Term loan | 2017 Select Credit Facilities | Alternate Base Rate floor    
Long-term debt and notes payable    
Interest rate margin (as a percent)   2.00%
Term loan | 2017 Select Credit Facilities Amendment | Adjusted LIBO | Minimum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 2.50%  
Term loan | 2017 Select Credit Facilities Amendment | Adjusted LIBO | Maximum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 2.75%  
Term loan | 2017 Select Credit Facilities Amendment | Alternate Base Rate | Minimum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 1.50%  
Term loan | 2017 Select Credit Facilities Amendment | Alternate Base Rate | Maximum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 1.75%  
Revolving facility | 2017 Select Credit Facilities    
Long-term debt and notes payable    
Current borrowing capacity   $ 450,000,000
Revolving facility | 2017 Select Credit Facilities | Adjusted LIBO | Minimum    
Long-term debt and notes payable    
Interest rate margin (as a percent)   3.00%
Revolving facility | 2017 Select Credit Facilities | Adjusted LIBO | Maximum    
Long-term debt and notes payable    
Interest rate margin (as a percent)   3.25%
Revolving facility | 2017 Select Credit Facilities | Alternate Base Rate | Minimum    
Long-term debt and notes payable    
Interest rate margin (as a percent)   2.00%
Revolving facility | 2017 Select Credit Facilities | Alternate Base Rate | Maximum    
Long-term debt and notes payable    
Interest rate margin (as a percent)   2.25%
Revolving facility | 2017 Select Credit Facilities Amendment | Adjusted LIBO | Minimum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 2.50%  
Revolving facility | 2017 Select Credit Facilities Amendment | Adjusted LIBO | Maximum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 2.75%  
Revolving facility | 2017 Select Credit Facilities Amendment | Alternate Base Rate | Minimum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 1.50%  
Revolving facility | 2017 Select Credit Facilities Amendment | Alternate Base Rate | Maximum    
Long-term debt and notes payable    
Interest rate margin (as a percent) 1.75%  
Letter of credit | 2017 Select Credit Facilities    
Long-term debt and notes payable    
Current borrowing capacity   $ 75,000,000