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Acquisitions and Dispositions (Tables)
 12 Months Ended
Dec. 31, 2025
Discontinued Operations and Disposal Groups [Abstract]  
Schedule of discontinued operations
Certain key selected financial information included in Income from discontinued operations, net of tax, for Concentra is as follows:
 For the Year Ended December 31,
 20232024
Revenue$1,838,081 $1,738,411 
Costs and expenses:  
Cost of services, exclusive of depreciation and amortization1,477,648 1,374,783 
General and administrative— 1,620 
Depreciation and amortization73,051 61,028 
Total costs and expenses1,550,699 1,437,431 
Other operating income250 284 
Income from operations287,632 301,264 
Other income and expense:
Equity in earnings of unconsolidated subsidiaries(526)(3,676)
Interest expense(1)
(44,474)(59,513)
Income from discontinued operations before income taxes242,632 238,075 
Income tax expense53,372 56,756 
Income from discontinued operations, net of tax189,260 181,319 
Less: Net income attributable to non-controlling interests4,796 18,152 
Income from discontinued operations, net of tax, attributable to Select Medical Holdings Corporation’s common stockholders$184,464 $163,167 
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(1)    For the years ended December 31, 2023 and 2024, interest expense includes allocated interest expense of $44.3 million and $22.0 million, respectively. Interest was allocated in accordance with the terms of an intercompany promissory note in place between the Company and Concentra prior to the separation.
Supplemental cash flow information
The following is selected financial information included on the Consolidated Statements of Cash Flows for Concentra:
 For the Year Ended December 31,
 20232024
Depreciation and amortization73,051 61,028 
Cash flows from investing activities:
Purchases of property, equipment, and other assets$69,340 $63,269 
Supplemental cash flow information related to leases is as follows:
For the Year Ended December 31,
202320242025
(in thousands)
Cash paid for amounts included in the measurement of lease liabilities (1):
Operating cash flows for operating leases
$317,256 $321,271 $244,623 
Operating cash flows for finance leases
1,239 1,104 1,081 
Financing cash flows for finance leases
1,617 1,347 652 
Right-of-use assets obtained in exchange for lease liabilities:
Operating leases171,569 299,111 238,495 
Finance leases
— — 56,676 
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(1)    Cash flows include cash paid for operating and finance leases of discontinued operations for the years ended December 31, 2023 and 2024.
The Company’s net cash paid for income taxes consisted of the following:
 For the Year Ended December 31, 2025
 (in thousands)
Federal$10,745 
Aggregated state and local jurisdictions5,731 
Disaggregated state and local jurisdictions
Florida1,284 
New Jersey1,474 
Ohio1,171 
Pennsylvania5,617 
Net cash paid for income taxes$26,022