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Consolidated Statements of Operations - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Statement [Abstract]      
Revenue $ 5,452,830 $ 5,187,105 $ 4,825,977
Costs and expenses:      
Cost of services, exclusive of depreciation and amortization 4,823,535 4,553,461 4,254,369
General and administrative 154,414 225,869 170,193
Depreciation and amortization 140,303 142,866 135,691
Total costs and expenses 5,118,252 4,922,196 4,560,253
Other operating income 1,592 3,406 1,518
Income from continuing operations before other income and expense 336,170 268,315 267,242
Other income and expense:      
Loss on early retirement of debt 0 (28,845) (14,692)
Equity in earnings of unconsolidated subsidiaries 54,521 63,904 41,339
Interest expense (117,942) (128,605) (154,165)
Income from continuing operations before income taxes 272,749 174,769 139,724
Income tax expense from continuing operations 58,216 44,782 29,253
Income from continuing operations, net of tax 214,533 129,987 110,471
Discontinued operations:      
Income from discontinued business 0 223,414 242,632
Income tax expense from discontinued business 0 56,697 53,372
Income from discontinued operations, net of tax 0 166,717 189,260
Net income 214,533 296,704 299,731
Less: Net income attributable to non-controlling interests 68,314 82,666 56,240
Net income attributable to Select Medical Holdings Corporation 146,219 214,038 243,491
Net income attributable to Select Medical Holdings Corporation’s common stockholders:      
Income from continuing operations, net of tax 146,219 65,473 59,027
Income from discontinued operations, net of tax $ 0 $ 148,565 $ 184,464
Earnings (loss) per common share      
Continuing operations - basic (in dollars per share) $ 1.16 $ 0.51 $ 0.46
Continuing operations - diluted (in dollars per share) 1.16 0.51 0.46
Discontinued operations - basic (in dollars per share) 0 1.15 1.44
Discontinued operations - diluted (in dollars per share) 0 1.15 1.44
Total earnings per common share - basic (in dollars per share) 1.16 1.66 [1] 1.91
Total earnings per common share - diluted (in dollars per share) $ 1.16 $ 1.66 [1] $ 1.91
[1] Does not total due to rounding.