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Schedule II - Valuation and Qualifying Accounts
 12 Months Ended
Dec. 31, 2017
Valuation and Qualifying Accounts [Abstract]  
Schedule II - Valuation and Qualifying Accounts
Select Medical Holdings Corporation
Select Medical Corporation
Schedule II—Valuation and Qualifying Accounts
 
 
Balance at
Beginning
of Year
 
Charged to
Cost and
Expenses
 
Deductions(1)
 
Balance at
End of Year
 
 
(in thousands)
Allowance for Doubtful Accounts
 
 

 
 

 
 

 
 

Year ended December 31, 2017
 
$
63,787

 
$
79,491

 
$
(67,734
)
 
$
75,544

Year ended December 31, 2016
 
$
61,133

 
$
69,093

 
$
(66,439
)
 
$
63,787

Year ended December 31, 2015
 
$
46,425

 
$
59,372

 
$
(44,664
)
 
$
61,133

Income Tax Valuation Allowance
 
 

 
 

 
 
 
 

Year ended December 31, 2017
 
$
26,421

 
$
(13,435
)
 
$
—

 
$
12,986

Year ended December 31, 2016
 
$
7,586

 
$
18,835

 
$
—

 
$
26,421

Year ended December 31, 2015
 
$
9,641

 
$
(2,055
)
 
$
—

 
$
7,586

_______________________________________________________________________________
(1)
Allowance for doubtful accounts deductions represent write-offs against the reserve for 2015, 2016, and 2017.