Condensed Consolidating Financial Information - Condensed Consolidating Statement of Cash Flows (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
Jun. 30, 2017 | Jun. 30, 2016 | Jun. 30, 2017 | Jun. 30, 2016 |
Operating activities | | | | |
Net income | $ 51,300 | $ 40,853 | $ 74,763 | $ 100,797 |
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | | | | |
Distributions from unconsolidated subsidiaries | | | 10,933 | 12,039 |
Depreciation and amortization | 38,333 | 36,205 | 80,872 | 70,722 |
Provision for bad debts | 18,174 | 17,517 | 38,799 | 33,914 |
Equity in earnings of unconsolidated subsidiaries | (5,666) | (4,546) | (11,187) | (9,198) |
Loss on extinguishment of debt | | | 6,527 | 773 |
Gain on sale of assets and businesses | | | (9,523) | (43,461) |
Loss on disposal of assets | | | | 55 |
Impairment of equity investment | | | | 5,339 |
Stock compensation expense | | | 9,270 | 8,174 |
Amortization of debt discount, premium and issuance costs | | | 5,974 | 7,077 |
Deferred income taxes | | | (1,474) | (13,286) |
Changes in operating assets and liabilities, net of effects of business combinations: | | | | |
Accounts receivable | | | (179,003) | (44,096) |
Other current assets | | | (5,557) | 11,011 |
Other assets | | | 4,621 | 4,508 |
Accounts payable | | | 759 | (15,852) |
Accrued expenses | | | (4,833) | 20,632 |
Income taxes | | | 19,399 | 29,090 |
Net cash provided by operating activities | | | 40,340 | 178,238 |
Investing activities | | | | |
Acquisition of businesses, net of cash acquired | | | (18,508) | (421,519) |
Purchases of property and equipment | (54,649) | (33,490) | (105,302) | (80,258) |
Investment in businesses | | | (9,874) | (1,590) |
Proceeds from sale of assets and businesses | | | 34,552 | 71,366 |
Net cash used in investing activities | | | (99,132) | (432,001) |
Financing activities | | | | |
Borrowings on revolving facilities | | | 630,000 | 320,000 |
Payments on revolving facilities | | | (550,000) | (380,000) |
Proceeds from term loans | | | 1,139,487 | 600,127 |
Payments on term loans | | | (1,173,692) | (229,649) |
Revolving facility debt issuance costs | | | (4,392) | |
Borrowings of other debt | | | 9,444 | 22,082 |
Principal payments on other debt | | | (10,437) | (9,926) |
Repayments of bank overdrafts | | | (5,228) | (2,138) |
Proceeds from issuance of non-controlling interests | | | 3,553 | 3,103 |
Purchase of non-controlling interests | | | (120) | (1,294) |
Distributions to non-controlling interests | | | (5,416) | (4,708) |
Net cash provided by financing activities | | | 33,562 | 317,748 |
Net increase (decrease) in cash and cash equivalents | | | (25,230) | 63,985 |
Cash and cash equivalents at beginning of period | | | 99,029 | 14,435 |
Cash and cash equivalents at end of period | 73,799 | 78,420 | 73,799 | 78,420 |
Select Medical Corporation | | | | |
Operating activities | | | | |
Net income | 51,300 | 40,853 | 74,763 | 100,797 |
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | | | | |
Distributions from unconsolidated subsidiaries | | | 10,933 | 12,039 |
Depreciation and amortization | 38,333 | 36,205 | 80,872 | 70,722 |
Provision for bad debts | 18,174 | 17,517 | 38,799 | 33,914 |
Equity in earnings of unconsolidated subsidiaries | (5,666) | (4,546) | (11,187) | (9,198) |
Loss on extinguishment of debt | | | 6,527 | 773 |
Gain on sale of assets and businesses | | | (9,523) | (43,461) |
Loss on disposal of assets | | | | 55 |
Impairment of equity investment | | | | 5,339 |
Stock compensation expense | | | 9,270 | 8,174 |
Amortization of debt discount, premium and issuance costs | | | 5,974 | 7,077 |
Deferred income taxes | | | (1,474) | (13,286) |
Changes in operating assets and liabilities, net of effects of business combinations: | | | | |
Accounts receivable | | | (179,003) | (44,096) |
Other current assets | | | (5,557) | 11,011 |
Other assets | | | 4,621 | 4,508 |
Accounts payable | | | 759 | (15,852) |
Accrued expenses | | | (4,833) | 20,632 |
Income taxes | | | 19,399 | 29,090 |
Net cash provided by operating activities | | | 40,340 | 178,238 |
Investing activities | | | | |
Acquisition of businesses, net of cash acquired | | | (18,508) | (421,519) |
Purchases of property and equipment | | | (105,302) | (80,258) |
Investment in businesses | | | (9,874) | (1,590) |
Proceeds from sale of assets and businesses | | | 34,552 | 71,366 |
Net cash used in investing activities | | | (99,132) | (432,001) |
Financing activities | | | | |
Borrowings on revolving facilities | | | 630,000 | 320,000 |
Payments on revolving facilities | | | (550,000) | (380,000) |
Proceeds from term loans | | | 1,139,487 | 600,127 |
Payments on term loans | | | (1,173,692) | (229,649) |
Revolving facility debt issuance costs | | | (4,392) | |
Borrowings of other debt | | | 9,444 | 22,082 |
Principal payments on other debt | | | (10,437) | (9,926) |
Repayments of bank overdrafts | | | (5,228) | (2,138) |
Dividends paid to Holdings | | | (600) | (506) |
Equity investment by Holdings | | | 963 | 657 |
Proceeds from issuance of non-controlling interests | | | 3,553 | 3,103 |
Purchase of non-controlling interests | | | (120) | (1,294) |
Distributions to non-controlling interests | | | (5,416) | (4,708) |
Net cash provided by financing activities | | | 33,562 | 317,748 |
Net increase (decrease) in cash and cash equivalents | | | (25,230) | 63,985 |
Cash and cash equivalents at beginning of period | | | 99,029 | 14,435 |
Cash and cash equivalents at end of period | 73,799 | 78,420 | 73,799 | 78,420 |
Select Medical Corporation | Reportable legal entities | Select (Parent Company Only) | | | | |
Operating activities | | | | |
Net income | 42,055 | 33,935 | 57,925 | 88,768 |
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | | | | |
Depreciation and amortization | 1,573 | 1,276 | 3,148 | 2,487 |
Equity in earnings of consolidated subsidiaries | (28,534) | (38,998) | (56,790) | (68,357) |
Loss on extinguishment of debt | | | 6,527 | 773 |
Gain on sale of assets and businesses | | | (8) | (40,895) |
Stock compensation expense | | | 8,700 | 7,790 |
Amortization of debt discount, premium and issuance costs | | | 4,342 | 5,371 |
Deferred income taxes | | | 5,987 | 997 |
Changes in operating assets and liabilities, net of effects of business combinations: | | | | |
Other current assets | | | (5,631) | (2,938) |
Other assets | | | 3,184 | (4,268) |
Accounts payable | | | (413) | (2,241) |
Accrued expenses | | | (5,618) | (10,175) |
Income taxes | | | 9,366 | 9,101 |
Net cash provided by operating activities | | | 30,719 | (13,587) |
Investing activities | | | | |
Acquisition of businesses, net of cash acquired | | | | (408,654) |
Purchases of property and equipment | | | (7,093) | (8,545) |
Proceeds from sale of assets and businesses | | | 8 | 63,418 |
Net cash used in investing activities | | | (7,085) | (353,781) |
Financing activities | | | | |
Borrowings on revolving facilities | | | 630,000 | 320,000 |
Payments on revolving facilities | | | (550,000) | (375,000) |
Proceeds from term loans | | | 1,139,487 | 600,127 |
Payments on term loans | | | (1,150,627) | (227,399) |
Revolving facility debt issuance costs | | | (4,392) | |
Borrowings of other debt | | | 6,572 | 9,765 |
Principal payments on other debt | | | (7,353) | (7,278) |
Repayments of bank overdrafts | | | (5,228) | (2,138) |
Dividends paid to Holdings | | | (600) | (506) |
Equity investment by Holdings | | | 963 | 657 |
Intercompany | | | (93,455) | 49,141 |
Net cash provided by financing activities | | | (34,633) | 367,369 |
Net increase (decrease) in cash and cash equivalents | | | (10,999) | 1 |
Cash and cash equivalents at beginning of period | | | 11,071 | 4,070 |
Cash and cash equivalents at end of period | 72 | 4,071 | 72 | 4,071 |
Select Medical Corporation | Reportable legal entities | Subsidiary Guarantors | | | | |
Operating activities | | | | |
Net income | 23,022 | 34,250 | 45,759 | 61,302 |
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | | | | |
Distributions from unconsolidated subsidiaries | | | 10,902 | 12,000 |
Depreciation and amortization | 18,149 | 17,316 | 39,489 | 32,648 |
Provision for bad debts | 9,829 | 10,285 | 21,577 | 21,003 |
Equity in earnings of unconsolidated subsidiaries | (5,646) | (4,519) | (11,139) | (9,146) |
Equity in earnings of consolidated subsidiaries | (4,200) | 1,133 | (9,775) | (1,873) |
Gain on sale of assets and businesses | | | (4,828) | (2,566) |
Loss on disposal of assets | | | | 37 |
Impairment of equity investment | | | | 5,339 |
Changes in operating assets and liabilities, net of effects of business combinations: | | | | |
Accounts receivable | | | (125,418) | (22,896) |
Other current assets | | | 5,452 | 7,342 |
Other assets | | | (16,925) | (341) |
Accounts payable | | | (1,550) | (17,695) |
Accrued expenses | | | (4,817) | 36,088 |
Net cash provided by operating activities | | | (51,273) | 121,242 |
Investing activities | | | | |
Acquisition of businesses, net of cash acquired | | | (2,305) | (605) |
Purchases of property and equipment | | | (71,813) | (52,591) |
Investment in businesses | | | (9,874) | (1,590) |
Proceeds from sale of assets and businesses | | | 15,007 | 7,942 |
Net cash used in investing activities | | | (68,985) | (46,844) |
Financing activities | | | | |
Principal payments on other debt | | | (204) | (385) |
Intercompany | | | 119,528 | (68,206) |
Purchase of non-controlling interests | | | | (1,294) |
Distributions to non-controlling interests | | | | (108) |
Net cash provided by financing activities | | | 119,324 | (69,993) |
Net increase (decrease) in cash and cash equivalents | | | (934) | 4,405 |
Cash and cash equivalents at beginning of period | | | 6,467 | 3,706 |
Cash and cash equivalents at end of period | 5,533 | 8,111 | 5,533 | 8,111 |
Select Medical Corporation | Reportable legal entities | Non-Guarantor Subsidiaries | | | | |
Operating activities | | | | |
Net income | 6,109 | (265) | 12,968 | 4,701 |
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | | | | |
Distributions from unconsolidated subsidiaries | | | 31 | 39 |
Depreciation and amortization | 3,182 | 2,697 | 6,683 | 5,295 |
Provision for bad debts | 3,627 | 2,093 | 6,933 | 4,058 |
Equity in earnings of unconsolidated subsidiaries | (20) | (27) | (48) | (52) |
Gain on sale of assets and businesses | | | (4,687) | |
Loss on disposal of assets | | | | 12 |
Amortization of debt discount, premium and issuance costs | | | | 2 |
Changes in operating assets and liabilities, net of effects of business combinations: | | | | |
Accounts receivable | | | (29,435) | (9,711) |
Other current assets | | | (2,517) | (1,273) |
Other assets | | | 17,426 | (424) |
Accounts payable | | | (10) | (3,371) |
Accrued expenses | | | 8,704 | (2,441) |
Net cash provided by operating activities | | | 16,048 | (3,165) |
Investing activities | | | | |
Acquisition of businesses, net of cash acquired | | | | (8,395) |
Purchases of property and equipment | | | (10,109) | (11,195) |
Proceeds from sale of assets and businesses | | | 19,537 | 6 |
Net cash used in investing activities | | | 9,428 | (19,584) |
Financing activities | | | | |
Borrowings of other debt | | | 105 | 9,500 |
Principal payments on other debt | | | (1,183) | (876) |
Intercompany | | | (26,073) | 19,065 |
Proceeds from issuance of non-controlling interests | | | 3,553 | 3,103 |
Purchase of non-controlling interests | | | (120) | |
Distributions to non-controlling interests | | | (1,868) | (3,294) |
Net cash provided by financing activities | | | (25,586) | 27,498 |
Net increase (decrease) in cash and cash equivalents | | | (110) | 4,749 |
Cash and cash equivalents at beginning of period | | | 5,056 | 625 |
Cash and cash equivalents at end of period | 4,946 | 5,374 | 4,946 | 5,374 |
Select Medical Corporation | Reportable legal entities | Non-Guarantor Concentra | | | | |
Operating activities | | | | |
Net income | 12,848 | 10,798 | 24,676 | 16,256 |
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | | | | |
Depreciation and amortization | 15,429 | 14,916 | 31,552 | 30,292 |
Provision for bad debts | 4,718 | 5,139 | 10,289 | 8,853 |
Loss on disposal of assets | | | | 6 |
Stock compensation expense | | | 570 | 384 |
Amortization of debt discount, premium and issuance costs | | | 1,632 | 1,704 |
Deferred income taxes | | | (7,461) | (14,283) |
Changes in operating assets and liabilities, net of effects of business combinations: | | | | |
Accounts receivable | | | (24,150) | (11,489) |
Other current assets | | | (2,861) | 7,880 |
Other assets | | | 936 | 9,541 |
Accounts payable | | | 2,732 | 7,455 |
Accrued expenses | | | (3,102) | (2,840) |
Income taxes | | | 10,033 | 19,989 |
Net cash provided by operating activities | | | 44,846 | 73,748 |
Investing activities | | | | |
Acquisition of businesses, net of cash acquired | | | (16,203) | (3,865) |
Purchases of property and equipment | | | (16,287) | (7,927) |
Net cash used in investing activities | | | (32,490) | (11,792) |
Financing activities | | | | |
Payments on revolving facilities | | | | (5,000) |
Payments on term loans | | | (23,065) | (2,250) |
Borrowings of other debt | | | 2,767 | 2,817 |
Principal payments on other debt | | | (1,697) | (1,387) |
Distributions to non-controlling interests | | | (3,548) | (1,306) |
Net cash provided by financing activities | | | (25,543) | (7,126) |
Net increase (decrease) in cash and cash equivalents | | | (13,187) | 54,830 |
Cash and cash equivalents at beginning of period | | | 76,435 | 6,034 |
Cash and cash equivalents at end of period | 63,248 | 60,864 | 63,248 | 60,864 |
Select Medical Corporation | Eliminations | | | | |
Operating activities | | | | |
Net income | (32,734) | (37,865) | (66,565) | (70,230) |
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | | | | |
Equity in earnings of consolidated subsidiaries | $ 32,734 | $ 37,865 | $ 66,565 | $ 70,230 |