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Long-Term Debt and Notes Payable - Concentra Credit Facilities (Details) - Credit facilities - Concentra Inc - USD ($)
Feb. 01, 2018
Jun. 01, 2015
Revolving facility    
Line of Credit Facility [Line Items]    
Additional borrowing capacity $ 25,000,000.0  
Maximum borrowing capacity   $ 50,000,000.0
Debt instrument term (in years)   5 years
Term loans    
Line of Credit Facility [Line Items]    
Additional borrowing capacity $ 555,000,000.0  
Adjusted LIBO | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 2.75%  
Adjusted LIBO Rate floor | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 1.00%  
Alternate Base Rate | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 1.75%  
Alternate Base Rate floor | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 2.00%  
Maximum | Adjusted LIBO | Revolving facility    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent)   3.00%
Maximum | Alternate Base Rate | Revolving facility    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent)   2.00%
Minimum | Adjusted LIBO | Revolving facility    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent)   2.75%
Minimum | Alternate Base Rate | Revolving facility    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent)   1.75%
Concentra second lien term agreement    
Line of Credit Facility [Line Items]    
Percentage of net cash proceeds received from non-ordinary course asset sales or other dispositions, or as a result of a casualty or condemnation to be used for prepayment of debt 100.00%  
Percentage of net proceeds received from the issuance of debt obligations other than certain permitted debt obligations to be used for prepayment of debt 100.00%  
Voting capital stock of domestic subsidiaries pledged (as a percent) 65.00%  
Non-voting capital stock of foreign subsidiaries pledged (as a percent) 100.00%  
Concentra second lien term agreement | Term loans    
Line of Credit Facility [Line Items]    
Aggregate principal amount $ 240,000,000.0  
Concentra second lien term agreement | On or prior to February 1, 2019 | Term loans    
Line of Credit Facility [Line Items]    
Prepayment premium rate 2.00%  
Concentra second lien term agreement | On or prior to February 1, 2020 | Term loans    
Line of Credit Facility [Line Items]    
Prepayment premium rate 1.00%  
Concentra second lien term agreement | Adjusted LIBO | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 6.50%  
Concentra second lien term agreement | Adjusted LIBO Rate floor | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 1.00%  
Concentra second lien term agreement | Alternate Base Rate | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 5.50%  
Concentra second lien term agreement | Alternate Base Rate floor | Term loans    
Line of Credit Facility [Line Items]    
Interest rate margin (as a percent) 2.00%  
Concentra second lien term agreement | Leverage ratio greater than 4.25 to 1.00    
Line of Credit Facility [Line Items]    
Percentage of excess cash flow to be used for prepayment of debt 50.00%  
Leverage ratio of financial maintenance covenant 4.25  
Concentra second lien term agreement | Less than or equal to 4.25 to 1.00 and greater than 3.75 to 1.00    
Line of Credit Facility [Line Items]    
Percentage of excess cash flow to be used for prepayment of debt 25.00%  
Concentra second lien term agreement | Leverage ratio less than or equal to 3.75 to 1.00    
Line of Credit Facility [Line Items]    
Leverage ratio of financial maintenance covenant 3.75  
Concentra second lien term agreement | Maximum | Less than or equal to 4.25 to 1.00 and greater than 3.75 to 1.00    
Line of Credit Facility [Line Items]    
Leverage ratio of financial maintenance covenant 4.25  
Concentra second lien term agreement | Minimum | Less than or equal to 4.25 to 1.00 and greater than 3.75 to 1.00    
Line of Credit Facility [Line Items]    
Leverage ratio of financial maintenance covenant 3.75