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Long-Term Debt and Notes Payable - Narrative (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended
Feb. 29, 2020
Mar. 31, 2020
Mar. 31, 2019
Line of Credit Facility [Line Items]      
Principal prepayment   $ 39,843 $ 132,685
Select Medical Corporation | Term loans      
Line of Credit Facility [Line Items]      
Principal prepayment $ 39,800    
Select Medical Corporation | Senior notes      
Line of Credit Facility [Line Items]      
Interest rate of debt (as a percent)   6.25%