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Long-Term Debt and Notes Payable - Concentra Credit Facilities and Fair Value (Details) - USD ($)
Mar. 01, 2017
Sep. 26, 2016
Jun. 01, 2015
Dec. 31, 2017
Mar. 06, 2017
Dec. 31, 2016
Dec. 11, 2015
May 28, 2013
Long-term debt and notes payable                
Total principal       $ 2,744,080,000   $ 2,747,856,000    
Concentra Inc                
Long-term debt and notes payable                
Total principal       625,828,000   647,417,000    
Concentra Inc | Credit facility                
Long-term debt and notes payable                
Maximum borrowing capacity     $ 500,000,000          
Concentra Inc | Credit facility | Concentra Credit Agreement Amendment                
Long-term debt and notes payable                
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%            
Select Excluding Concentra                
Long-term debt and notes payable                
Total principal       2,118,252,000   2,100,439,000    
Select Excluding Concentra | Senior notes | 6.375% Senior Notes Due June 2021                
Long-term debt and notes payable                
Aggregate principal amount               $ 600,000,000.0
Total principal       $ 710,000,000   $ 710,000,000    
Interest rate of debt (as a percent)       6.375% 6.375% 6.375%   6.375%
Leverage ratio greater than 4.25 to 1.00 | Concentra Inc | Credit facility | Concentra Credit Agreement Amendment                
Long-term debt and notes payable                
Percentage of excess cash flow to be used for prepayment of debt   50.00%            
Leverage ratio of financial maintenance covenant   4.25            
Less than or equal to 4.25 to 1.00 and greater than 3.75 to 1.00 | Concentra Inc | Credit facility | Concentra Credit Agreement Amendment                
Long-term debt and notes payable                
Percentage of excess cash flow to be used for prepayment of debt   25.00%            
Less than or equal to 4.25 to 1.00 and greater than 3.75 to 1.00 | Concentra Inc | Credit facility | Concentra Credit Agreement Amendment | Minimum                
Long-term debt and notes payable                
Leverage ratio of financial maintenance covenant   3.75            
Less than or equal to 4.25 to 1.00 and greater than 3.75 to 1.00 | Concentra Inc | Credit facility | Concentra Credit Agreement Amendment | Maximum                
Long-term debt and notes payable                
Leverage ratio of financial maintenance covenant   4.25            
Leverage ratio equal to 3.75 to 1.00 | Concentra Inc | Credit facility | Concentra Credit Agreement Amendment                
Long-term debt and notes payable                
Leverage ratio of financial maintenance covenant   3.75            
Term loan | Concentra Inc | Credit facility                
Long-term debt and notes payable                
Aggregate principal amount     $ 450,000,000.0          
Debt instrument term (in years)     7 years          
Total principal       $ 619,175,000   $ 642,239,000    
Unamortized discounts and debt issuance costs       12,900,000        
Principal prepayments from excess cash flow $ 23,100,000              
Term loan | Concentra Inc | Credit facility | Adjusted LIBO                
Long-term debt and notes payable                
Interest rate margin (as a percent)     3.00%          
Term loan | Concentra Inc | Credit facility | Adjusted LIBO Rate floor                
Long-term debt and notes payable                
Interest rate margin (as a percent)     1.00%          
Term loan | Concentra Inc | Credit facility | Alternate Base Rate                
Long-term debt and notes payable                
Interest rate margin (as a percent)     2.00%          
Term loan | Concentra Inc | Credit facility | Alternate Base Rate floor                
Long-term debt and notes payable                
Interest rate margin (as a percent)     2.00%          
Term loan | Concentra Inc | Credit facility | Second Lien Credit Agreement                
Long-term debt and notes payable                
Aggregate principal amount     $ 200,000,000.0          
Debt instrument term (in years)     8 years          
Term loan | Concentra Inc | Credit facility | Second Lien Credit Agreement | Adjusted LIBO                
Long-term debt and notes payable                
Interest rate margin (as a percent)     8.00%          
Term loan | Concentra Inc | Credit facility | Second Lien Credit Agreement | Adjusted LIBO Rate floor                
Long-term debt and notes payable                
Interest rate margin (as a percent)     1.00%          
Term loan | Concentra Inc | Credit facility | Second Lien Credit Agreement | Alternate Base Rate                
Long-term debt and notes payable                
Interest rate margin (as a percent)     7.00%          
Term loan | Concentra Inc | Credit facility | Second Lien Credit Agreement | Alternate Base Rate floor                
Long-term debt and notes payable                
Interest rate margin (as a percent)     2.00%          
Term loan | Concentra Inc | Credit facility | Concentra Credit Agreement Amendment                
Long-term debt and notes payable                
Aggregate principal amount   $ 200,000,000.0            
Periodic payment in equal quarterly installments   $ 1,600,000            
Term loan | Select Excluding Concentra | Credit facility                
Long-term debt and notes payable                
Total principal       1,141,375,000   1,147,751,000    
Revolving facility | Concentra Inc | Credit facility                
Long-term debt and notes payable                
Maximum borrowing capacity     $ 50,000,000          
Debt instrument term (in years)     5 years          
Remaining borrowing capacity       43,400,000        
Revolving facility | Concentra Inc | Credit facility | Adjusted LIBO | Minimum                
Long-term debt and notes payable                
Interest rate margin (as a percent)     2.75%          
Revolving facility | Concentra Inc | Credit facility | Adjusted LIBO | Maximum                
Long-term debt and notes payable                
Interest rate margin (as a percent)     3.00%          
Revolving facility | Concentra Inc | Credit facility | Alternate Base Rate | Minimum                
Long-term debt and notes payable                
Interest rate margin (as a percent)     1.75%          
Revolving facility | Concentra Inc | Credit facility | Alternate Base Rate | Maximum                
Long-term debt and notes payable                
Interest rate margin (as a percent)     2.00%          
Revolving facility | Select Excluding Concentra | Credit facility                
Long-term debt and notes payable                
Maximum borrowing capacity             $ 450,000,000  
Total principal       230,000,000   $ 220,000,000    
Revolving facility | Leverage ratio equal to 5.75 to 1.00 | Concentra Inc | Credit facility | Concentra Credit Agreement Amendment                
Long-term debt and notes payable                
Leverage ratio of financial maintenance covenant   5.75            
Percentage of revolving exposure to revolving commitments that needs to be exceeded for the leverage ratio to apply   30.00%            
Letter of credit | Concentra Inc | Credit facility                
Long-term debt and notes payable                
Outstanding letters of credit       $ 6,600,000