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Consolidated Statements of Changes in Equity and Income - USD ($) $ in Thousands | Total | Total Stockholders’ Equity | Common Stock | Capital in Excess of Par | Retained Earnings | Accumulated Other Comprehensive Income (Loss) | Non-controlling Interests
--- | --- | --- | --- | --- | --- | --- | ---
Beginning balance (in shares) at Dec. 31, 2022 |  |  | 127,173,000 |  |  |  |
Beginning balance at Dec. 31, 2022 | $ 1,356,564 | $ 1,121,922 | $ 127 | $ 452,183 | $ 581,010 | $ 88,602 | $ 234,642
Increase (Decrease) in Stockholders' Equity |  |  |  |  |  |  |
Net income attributable to Select Medical Holdings Corporation | 243,491 | 243,491 |  |  | 243,491 |  |
Net income attributable to non-controlling interests | 48,153 | 0 |  |  |  |  | 48,153
Cash dividends declared for common stockholders | (63,904) | (63,904) |  |  | (63,904) |  |
Issuance of restricted stock (in shares) |  |  | 1,651,000 |  |  |  |
Issuance of restricted stock | 0 | 0 | $ 1 | (1) |  |  |
Forfeitures of unvested restricted stock (in shares) |  |  | (12,000) |  |  |  |
Forfeitures of unvested restricted stock | 12 | 12 | $ 0 | 0 | 12 |  |
Vesting of restricted stock | 43,619 | 43,619 |  | 43,619 |  |  |
Repurchase of common shares (in shares) |  |  | (443,000) |  |  |  |
Repurchase of common shares | (12,759) | (12,759) | $ 0 | (5,184) | (7,575) |  |
Issuance of non-controlling interests | 23,051 | 1,870 |  | 1,870 |  |  | 21,181
Non-controlling interests acquired in business combination | 9,007 | 0 |  |  |  |  | 9,007
Distributions to and purchases of non-controlling interests | (55,314) | (1,745) |  | 927 | (2,672) |  | (53,569)
Redemption value adjustment on non-controlling interests | 1,527 | 1,527 |  |  | 1,527 |  |
Other comprehensive loss | (45,695) | (45,695) |  |  |  | (45,695) |
Other | (34) | (34) |  | (1) | (33) |  |
Ending balance (in shares) at Dec. 31, 2023 |  |  | 128,369,000 |  |  |  |
Ending balance at Dec. 31, 2023 | 1,547,718 | 1,288,304 | $ 128 | 493,413 | 751,856 | 42,907 | 259,414
Increase (Decrease) in Stockholders' Equity |  |  |  |  |  |  |
Net income attributable to Select Medical Holdings Corporation | 214,038 | 214,038 |  |  | 214,038 |  |
Net income attributable to non-controlling interests | 73,264 | 0 |  |  |  |  | 73,264
Cash dividends declared for common stockholders | (64,617) | (64,617) |  |  | (64,617) |  |
Issuance of restricted stock (in shares) |  |  | 1,728,000 |  |  |  |
Issuance of restricted stock | 0 | 0 | $ 2 | (2) |  |  |
Forfeitures of unvested restricted stock (in shares) |  |  | (69,000) |  |  |  |
Forfeitures of unvested restricted stock | 71 | 71 | $ 0 | 0 | 71 |  |
Vesting of restricted stock | 100,599 | 100,599 |  | 100,599 |  |  |
Repurchase of common shares (in shares) |  |  | (1,065,000) |  |  |  |
Repurchase of common shares | (37,905) | (37,905) | $ (1) | (18,176) | (19,728) |  |
Issuance of non-controlling interests | 27,200 | 0 |  |  |  |  | 27,200
Non-controlling interests acquired in business combination | 13,009 | 0 |  |  |  |  | 13,009
Distributions to and purchases of non-controlling interests | (50,276) | 394 |  | 394 |  |  | (50,670)
Redemption value adjustment on non-controlling interests | (1,947) | (1,947) |  |  | (1,947) |  |
Concentra Separation and Distribution | 208,552 | 225,196 |  | 334,852 | (109,656) |  | (16,644)
Other comprehensive loss | (42,907) | (42,907) |  |  |  | (42,907) |
Other | $ 129 | 129 |  |  | 129 |  |
Ending balance (in shares) at Dec. 31, 2024 | 128,962,850 |  | 128,963,000 |  |  |  |
Ending balance at Dec. 31, 2024 | $ 1,986,928 | 1,681,355 | $ 129 | 911,080 | 770,146 | 0 | 305,573
Increase (Decrease) in Stockholders' Equity |  |  |  |  |  |  |
Net income attributable to Select Medical Holdings Corporation | 146,219 | 146,219 |  |  | 146,219 |  |
Net income attributable to non-controlling interests | 62,898 | 0 |  |  |  |  | 62,898
Cash dividends declared for common stockholders | (31,435) | (31,435) |  |  | (31,435) |  |
Issuance of restricted stock (in shares) |  |  | 1,722,000 |  |  |  |
Issuance of restricted stock | 0 | 0 | $ 2 | (2) |  |  |
Forfeitures of unvested restricted stock (in shares) |  |  | (28,000) |  |  |  |
Forfeitures of unvested restricted stock | 18 | 18 | $ 0 | 0 | 18 |  |
Vesting of restricted stock | 16,684 | 16,684 |  | 16,684 |  |  |
Repurchase of common shares (in shares) |  |  | (6,640,000) |  |  |  |
Repurchase of common shares | (100,905) | (100,905) | $ (7) | (52,970) | (47,928) |  |
Issuance of non-controlling interests | 15,904 | 0 |  |  |  |  | 15,904
Distributions to and purchases of non-controlling interests | (72,972) | 56 |  | 56 |  |  | (73,028)
Redemption value adjustment on non-controlling interests | (4) | (4) |  |  | (4) |  |
Other comprehensive loss | $ (6,404) | (6,404) |  |  |  | (6,404) |
Ending balance (in shares) at Dec. 31, 2025 | 124,017,191 |  | 124,017,000 |  |  |  |
Ending balance at Dec. 31, 2025 | $ 2,016,931 | $ 1,705,584 | $ 124 | $ 874,848 | $ 837,016 | $ (6,404) | $ 311,347

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