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Long-Term Debt and Notes Payable - Senior Notes (Details) - Select Excluding Concentra - Senior notes - USD ($)
12 Months Ended
Mar. 11, 2014
Dec. 31, 2017
Mar. 06, 2017
Dec. 31, 2016
May 28, 2013
Debt Instrument, Redemption, Period One          
Long-term debt and notes payable          
Redemption price   103.188%      
Debt Instrument, Redemption, Period Two          
Long-term debt and notes payable          
Redemption price   101.594%      
Debt Instrument, Redemption, Period Three          
Long-term debt and notes payable          
Redemption price   100.00%      
6.375% Senior Notes Due June 2021          
Long-term debt and notes payable          
Aggregate principal amount         $ 600,000,000.0
Interest rate of debt (as a percent)   6.375% 6.375% 6.375% 6.375%
Percentage of principal amount at which notes may be required to be repurchased in event of change of control by the entity   101.00%      
Additional Notes          
Long-term debt and notes payable          
Aggregate principal amount $ 110,000,000.0        
Interest rate of debt (as a percent) 6.375%        
Issue price (as a percent) 101.50%        
Gross proceeds $ 111,700,000