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Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Statement of Comprehensive Income [Abstract]
Net income	$ 214,533	$ 296,704	$ 299,731
Other comprehensive income (loss), net of tax:
Gain (loss) on interest rate cap contract	(6,677)	5,723	15,783
Reclassification adjustment for (gains) losses included in net income	273	(48,630)	(61,478)
Net change, net of tax (expense) benefit of $(15,202), $13,550 and $2,022	(6,404)	(42,907)	(45,695)
Comprehensive income	208,129	253,797	254,036
Less: Comprehensive income attributable to non-controlling interests	68,314	82,666	56,240
Comprehensive income attributable to Select Medical Holdings Corporation	$ 139,815	$ 171,131	$ 197,796

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