7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-09-30 2018-06-30 2018-03-31 2017-06-30 2017-03-31 2016-09-30 2016-06-30 2016-03-31 2015-09-30 2015-06-30 2015-03-31 2014-06-30 2014-03-31 2013-09-30 2013-06-30 2013-03-31 2012-09-30 2012-06-30 2012-03-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2007-09-30 2007-06-30 2007-03-31 
      
    		                                                         
      operating activities
    		                                                         
      net income
    		44,180,000 57,879,000 74,732,000 3,756,000 81,015,000 94,766,000 117,167,000 61,798,000 60,816,000 91,860,000 85,257,000 37,712,000 38,126,000 66,262,000 55,926,000 66,310,000 100,217,000 196,208,000 137,214,000 102,215,000 104,457,000 67,486,000 70,448,000 43,671,000 44,030,000 59,986,000 53,344,000 147,220,000 60,559,000 43,982,000 51,300,000 23,463,000 3,992,000 40,853,000 59,944,000 32,810,000 40,054,000 37,285,000 37,994,000 34,367,000 25,207,000 29,878,000 36,802,000 25,158,000 44,816,000 42,572,000 26,381,000 13,657,000 35,387,000 21,894,000 8,665,000 26,173,000 25,632,000 31,299,000 -3,106,000 14,315,000 17,471,000 
      adjustments to reconcile net income to net cash from operating activities:
    		                                                         
      distributions from unconsolidated subsidiaries
    		11,723,000 10,947,000 20,145,000 8,742,000 16,306,000 1,756,000 12,374,000 13,521,000 1,055,000 6,275,000 2,566,000 5,019,000 5,752,000 3,654,000 7,486,000 9,230,000 8,388,000 7,751,000 11,633,000 13,670,000 10,497,000 2,744,000 8,479,000 6,613,000 2,461,000 3,276,000 7,872,000 10,734,000 6,466,000 1,364,000 6,022,000 4,911,000 4,106,000 3,734,000 8,305,000 11,762,000 24,000 28,000                    
      depreciation and amortization
    		34,442,000 34,848,000 34,808,000 45,743,000 50,143,000 53,939,000 54,069,000 53,984,000 52,394,000 49,939,000 52,425,000 52,246,000 51,459,000 51,081,000 51,039,000 51,943,000 50,128,000 50,954,000 49,620,000 51,526,000 50,110,000 52,271,000 51,752,000 52,504,000 52,941,000 54,993,000 52,138,000 149,022,000 51,724,000 46,771,000 38,333,000 42,539,000 37,165,000 36,205,000 34,517,000 31,472,000 21,848,000 17,348,000 17,196,000 16,229,000 16,163,000 15,907,000 15,802,000 15,537,000 15,428,000 16,199,000 17,545,000 17,999,000 17,222,000 17,373,000 17,012,000 16,610,000 17,711,000 17,635,000 16,399,000 13,939,000 11,704,000 
      benefit from expected credit losses
    		506,000 -728,000 2,283,000 2,620,000 199,000 606,000 854,000 -71,000 340,000 332,000 429,000 215,000 -152,000 17,000 94,000 64,000 -40,000 145,000 67,000 323,000 28,000 54,000 199,000                                   
      equity in earnings of unconsolidated subsidiaries
    		-12,992,000 -13,618,000 -12,512,000 -10,423,000 -33,069,000 -6,315,000 -10,421,000 -10,195,000 -11,561,000 -10,501,000 -8,556,000 -6,759,000 -8,084,000 -6,167,000 -5,397,000 -11,248,000 -11,452,000 -11,809,000 -9,919,000 -9,763,000 -8,765,000 -8,324,000 -2,588,000 -6,279,000 -6,950,000 -7,394,000 -4,366,000 -14,914,000 -4,785,000 -4,697,000                            
      loss on extinguishment of debt
    		   8,099,000    0                11,970,000    484,000 72,000 412,000                            
      gain on sale or disposal of assets
    		-4,000    -89,000    16,000 -16,000 -7,000  -117,000 -1,453,000 -23,000                                           
      stock compensation expense
    		4,255,000 4,032,000 3,892,000 61,271,000 13,376,000 14,413,000 11,610,000 11,818,000 11,483,000 10,327,000 10,181,000 9,799,000 10,187,000 8,946,000 8,823,000 8,938,000 8,194,000 7,099,000 6,709,000 6,422,000 6,962,000 6,963,000 6,903,000 7,020,000 6,818,000 6,358,000 6,255,000 17,175,000 5,984,000 4,927,000 4,684,000 4,586,000 4,750,000 4,198,000 3,976,000                       
      amortization of debt discount, premium, and issuance costs
    		784,000 786,000 783,000  787,000 742,000 750,000                                                   
      deferred income taxes
    		17,895,000 -1,693,000 -5,655,000 2,507,000 -602,000 -27,448,000 -6,891,000 930,000 -6,173,000 -8,275,000 -2,601,000 14,601,000 -5,115,000 -2,385,000 420,000 17,020,000 -3,642,000 -7,426,000 -897,000 -159,000 -11,140,000 -12,780,000 9,364,000 -188,000 -957,000 -6,209,000 -81,000 -2,092,000 -1,769,000 78,000                            
      changes in operating assets and liabilities, net of effects of business combinations:
    		                                                         
      accounts receivable
    		83,144,000 -548,000 -89,083,000 20,916,000 22,348,000 56,199,000 -195,308,000 4,170,000 20,121,000 32,262,000 -55,397,000 -32,497,000 12,745,000 19,794,000 -52,225,000 22,456,000 32,396,000 28,391,000 -60,142,000 -25,188,000 -104,592,000 67,107,000 -53,928,000 35,434,000 -7,552,000 -11,121,000 -74,752,000 23,495,000 40,037,000 -45,811,000                 -226,000 18,895,000 -100,135,000 -37,661,000 24,705,000 11,832,000 -63,205,000 -3,422,000 -8,934,000 -11,188,000 -33,210,000 
      other current assets
    		-8,060,000 12,792,000 -12,230,000 10,216,000 1,299,000 16,168,000 -9,611,000 -12,098,000 -11,279,000 5,745,000 -11,742,000 -7,789,000 5,051,000 -309,000 -1,819,000 -596,000 11,034,000 -8,431,000 -4,425,000 4,040,000 -23,528,000 686,000 27,000 1,757,000 3,220,000 -1,713,000 -7,523,000 -10,274,000 5,934,000 -8,945,000   1,083,000 3,451,000 7,560,000            1,751,000 1,565,000 -3,076,000 -1,976,000 4,066,000 1,571,000 -2,066,000 -135,000 1,826,000 -1,814,000 423,000 
      other assets
    		1,597,000 1,332,000 2,127,000 -1,009,000 26,789,000 -15,210,000 2,363,000 3,003,000 1,556,000 1,813,000 3,659,000 6,841,000 8,375,000 -1,411,000 2,686,000 -4,072,000 8,860,000 -12,945,000 961,000 1,252,000 4,831,000 9,256,000 2,248,000 4,863,000 2,198,000 -58,258,000 57,319,000 4,828,000 -9,949,000 16,633,000   476,000   972,000 1,905,000 1,663,000        2,028,000 -1,652,000 672,000 2,052,000 314,000 1,634,000 -3,270,000 2,130,000 2,096,000 -1,617,000 2,083,000 -1,013,000 
      accounts payable
    		-3,322,000 7,632,000 13,462,000 -14,733,000 5,558,000 -1,896,000 -5,718,000 -11,200,000 -2,308,000 11,660,000 -4,564,000 -25,857,000 -27,064,000 -11,195,000 16,074,000 30,478,000 4,033,000 -4,579,000 23,460,000 3,079,000 19,995,000 13,243,000 -8,992,000 4,374,000 -1,301,000 -1,654,000 4,324,000 -3,507,000 1,090,000 -6,552,000 347,000 412,000    -5,878,000 3,593,000 5,332,000 5,611,000 4,732,000   4,130,000    5,901,000 -3,670,000 11,777,000 -3,692,000 5,327,000 -6,994,000 -1,802,000 9,329,000 3,386,000 -795,000 3,967,000 
      accrued expenses
    		1,159,000 -3,349,000 -36,186,000 -13,005,000 -14,030,000 91,498,000 -37,971,000 63,084,000 -1,022,000 42,808,000 -20,775,000 -3,150,000 -4,499,000 51,564,000 -31,076,000 -157,955,000 13,762,000 49,867,000 21,167,000 51,058,000 113,753,000 48,483,000 -44,455,000 14,902,000 40,552,000 51,007,000 -69,163,000 49,391,000 13,188,000 -11,981,000   32,364,000 -30,561,000 51,193,000 32,009,000 -6,050,000 6,757,000      -6,075,000   -19,341,000 16,723,000 -9,948,000 22,916,000 -14,584,000 22,179,000 -20,633,000 -11,645,000 2,017,000 8,491,000 2,170,000 
      net cash from operating activities
    		175,307,000 110,292,000 -3,457,000 125,432,000 180,969,000 278,152,000 -66,689,000 179,442,000 116,338,000 234,838,000 51,440,000 12,544,000 94,263,000 171,681,000 6,337,000 -60,752,000 98,954,000 123,138,000 239,888,000 207,438,000 134,537,000 642,014,000 44,084,000 178,542,000 133,726,000 91,152,000 41,762,000 380,977,000 166,223,000 50,727,000   102,278,000 66,817,000 111,152,000 128,371,000 37,525,000 37,535,000   93,082,000   75,271,000 110,625,000 8,180,000 60,387,000 88,559,000 -5,032,000 34,272,000 51,546,000 74,515,000 -15,796,000 72,192,000 -284,000 62,789,000 -7,485,000 
      capex
    		-53,102,000 -64,684,000 -52,339,000 -63,429,000 -50,683,000 -55,548,000 -52,517,000 -60,603,000 -50,198,000 -59,514,000 -58,885,000 -55,253,000 -41,942,000 -46,332,000 -46,845,000 -55,151,000 -48,944,000 -36,723,000 -39,719,000 -40,868,000 -34,319,000 -32,045,000 -39,208,000 -33,170,000 -34,671,000 -40,212,000 -49,073,000 -121,039,000 -42,031,000 -39,617,000   0 0 0 0 0 0   0   0 0 0 -8,398,000 -10,776,000 -12,920,000 -13,135,000 -12,172,000 -13,407,000 -13,047,000 -22,627,000 -38,065,000 -51,733,000 -38,099,000 
      free cash flows
    		122,205,000 45,608,000 -55,796,000 62,003,000 130,286,000 222,604,000 -119,206,000 118,839,000 66,140,000 175,324,000 -7,445,000 -42,709,000 52,321,000 125,349,000 -40,508,000 -115,903,000 50,010,000 86,415,000 200,169,000 166,570,000 100,218,000 609,969,000 4,876,000 145,372,000 99,055,000 50,940,000 -7,311,000 259,938,000 124,192,000 11,110,000   102,278,000 66,817,000 111,152,000 128,371,000 37,525,000 37,535,000   93,082,000   75,271,000 110,625,000 8,180,000 51,989,000 77,783,000 -17,952,000 21,137,000 39,374,000 61,108,000 -28,843,000 49,565,000 -38,349,000 11,056,000 -45,584,000 
      investing activities
    		                                                         
      business combinations, net of cash acquired
    		   -10,786,000 3,682,000 -588,000 -5,405,000 -9,085,000 -12,750,000 -7,335,000 -397,000 -4,960,000 -2,786,000 -14,055,000 -5,186,000 -55,081,000 -16,749,000 -3,767,000 -6,314,000 -6,732,000 -7,115,000 -128,000 -6,833,000 -7,436,000 -207,000 -79,942,000 -6,120,000 -519,258,000 -2,345,000 -515,359,000                            
      purchases of property and equipment
    		-53,102,000 -64,684,000 -52,339,000         -55,253,000 -41,942,000 -46,332,000 -46,845,000 -55,151,000 -48,944,000 -36,723,000 -39,719,000 -40,868,000 -34,319,000 -32,045,000 -39,208,000 -33,170,000 -34,671,000 -40,212,000 -49,073,000 -121,039,000 -42,031,000 -39,617,000                 -8,398,000 -10,776,000 -12,920,000 -13,135,000 -12,172,000 -13,407,000 -13,047,000 -22,627,000 -38,065,000 -51,733,000 -38,099,000 
      proceeds from sales and exchange of assets
    		                                                         
      net cash from investing activities
    		-32,610,000 -64,669,000 -52,315,000 -74,193,000 -45,093,000 -54,068,000 -57,657,000 -69,584,000 -63,018,000 -66,813,000 -69,062,000 -57,234,000 -55,011,000 -58,763,000 -55,331,000 -99,268,000 -69,081,000 -35,660,000 -52,585,000 -53,168,000 18,377,000 -35,903,000 -44,659,000 -46,019,000 -43,231,000 -144,680,000 -82,799,000 -646,542,000 -39,932,000 -556,039,000                 -8,398,000 -12,740,000 -14,670,000 -12,570,000 -177,974,000 -13,407,000 -13,047,000 -43,627,000 -32,194,000 -256,498,000 -37,353,000 
      financing activities
    		                                                         
      borrowings on revolving facilities
    		200,000,000 365,000,000 405,000,000 290,000,000 235,000,000 220,000,000 495,000,000 270,000,000 200,000,000 210,000,000 225,000,000 275,000,000 280,000,000 285,000,000 280,000,000     0 0 10,000,000 460,000,000 0 65,000,000 275,000,000 360,000,000 420,000,000 100,000,000 165,000,000 100,000,000 530,000,000 100,000,000 130,000,000 190,000,000 180,000,000                      
      payments on revolving facilities
    		-300,000,000 -295,000,000 -330,000,000 -195,000,000 -570,000,000 -385,000,000 -265,000,000 -330,000,000 -205,000,000 -325,000,000 -210,000,000 -210,000,000 -250,000,000 -275,000,000 -100,000,000     0 0 -175,000,000 -295,000,000 0 -260,000,000 -240,000,000 -220,000,000 -585,000,000 -195,000,000 -150,000,000                            
      proceeds from term loans, net of issuance costs
    		   1,043,355,000                                                      
      payments on term loans
    		-2,625,000 -2,625,000 -2,625,000 -372,982,000 -1,640,418,000 0 -79,085,000 -5,258,000            0 0 0 -39,843,000 -1,243,086,000 -242,399,000 0 -132,685,000 -8,625,000 -2,875,000 -2,875,000                            
      proceeds from 6.875% senior notes, net of issuance costs
    		                                                         
      borrowings of other debt
    		20,169,000 5,338,000 16,015,000 4,086,000 3,078,000 0 17,728,000 550,000 8,551,000 850,000 21,448,000 4,800,000 3,372,000 1,700,000 15,794,000 13,498,000 10,600,000 0 8,915,000 5,022,000 3,599,000 25,000,000 6,487,000 4,943,000 5,052,000 5,940,000 8,290,000 30,134,000 8,328,000 11,600,000 2,873,000 6,571,000 1,719,000 15,355,000 6,727,000 1,451,000 3,008,000 6,582,000 0 6,111,000 2,329,000 1,083,000 5,826,000 0 0 5,835,000 0 0 5,496,000 1,332,000 0 0 5,015,000 2,005,000    
      principal payments on other debt
    		-9,274,000 -8,962,000 -7,729,000 -29,498,000 -12,521,000 -14,200,000 -9,061,000 -8,648,000 -11,925,000 -15,203,000 -11,170,000 -10,429,000 -8,291,000 -7,686,000 -9,188,000 -16,758,000 -7,596,000 -5,972,000 -9,342,000 -5,561,000 -7,087,000 -27,634,000 -8,099,000 -7,976,000 -9,948,000 -6,525,000 -6,155,000 -17,971,000 -5,612,000 -5,909,000                            
      dividends paid to common stockholders
    		-7,739,000 -7,885,000 -8,060,000 -16,124,000 -16,194,000 -16,254,000 -16,045,000 -16,048,000 -16,035,000 -15,924,000 -15,897,000 -15,897,000 -15,893,000 -16,108,000 -16,691,000 -16,784,000 -16,940,000                                         
      repurchases of common stock
    		-1,970,000 -86,176,000 -11,389,000                                                       
      decrease in overdrafts
    		-16,506,000 -4,177,000 -5,120,000 11,630,000 -9,453,000 -4,908,000 -1,740,000  -1,500,000 257,000 -724,000  1,964,000 -3,447,000 -7,608,000         0    -6,172,000 1,745,000 -7,916,000                            
      proceeds from issuance of non-controlling interests
    		2,058,000 2,962,000 7,944,000 6,300,000 3,662,000 1,749,000 4,002,000 2,472,000 5,651,000 12,081,000 2,731,000 2,434,000 141,000 1,726,000 5,229,000 806,000 14,238,000   5,878,000 0 7,000 1,679,000 159,000 0 14,863,000 3,425,000 2,926,000   1,459,000 2,094,000                          
      distributions to and purchases of non-controlling interests
    		-19,105,000 -14,962,000 -14,745,000 -24,201,000 -17,430,000 -5,531,000 -12,839,000 -8,663,000 -30,783,000 -16,116,000 -7,969,000 -2,444,000 -22,000,000 -8,368,000 -10,295,000 -22,684,000 -21,245,000 -15,489,000 -13,663,000 -10,393,000 -14,536,000 -1,186,000 -12,474,000 -5,748,000 -8,287,000 -2,494,000 -5,251,000                               
      proceeds from concentra initial public offering
    		   0                                                      
      net cash from financing activities
    		-134,992,000 -46,487,000 49,291,000 -183,013,000 -55,568,000 -205,544,000 132,960,000 -103,292,000 -77,047,000 -150,561,000 3,419,000 34,373,000 -25,698,000 -149,130,000 105,565,000 -513,653,000 -85,383,000 -34,259,000 -14,090,000 -217,009,000 -22,851,000 -169,537,000 -262,144,000 67,396,000 -78,568,000 29,749,000 13,674,000 303,429,000 -104,945,000 502,446,000 -29,688,000 63,250,000 -81,474,000 -39,478,000 357,495,000 -117,762,000   -36,397,000 44,171,000  3,144,000 306,000    -55,360,000 -77,303,000 30,405,000 -32,680,000 13,018,000 -5,528,000 18,336,000 -225,377,000 16,971,000 181,783,000 774,000 
      net increase in cash and cash equivalents
    		7,705,000 -864,000 -6,481,000 -131,774,000 80,308,000 18,540,000 8,614,000 6,566,000 -23,727,000 17,464,000 -14,203,000 -10,317,000 13,554,000 -36,212,000 56,571,000 -673,673,000 -55,510,000 53,219,000 173,213,000 -62,739,000 130,063,000   199,919,000 11,927,000   37,864,000     -10,197,000 -6,988,000 70,973,000 -2,556,000 18,603,000 3,234,000  373,000    28,156,000   -3,371,000   -10,978,000 -113,410,000   -196,812,000    
      cash and cash equivalents at beginning of period
    		0 0 59,694,000 0 0 0 84,006,000 0 0 0 97,906,000 0 0 0 74,310,000 0 0 0 577,061,000 0 0 0 335,882,000 0 0 0 175,178,000 122,549,000 0 122,549,000 0 99,029,000 0 0 14,435,000 0 0 3,354,000 0 4,319,000 0 0 40,144,000 0 0 12,043,000 0 0 4,365,000 0 0 0 83,680,000 0 0 0 81,600,000 
      cash and cash equivalents at end of period
    		7,705,000 -864,000 53,213,000 -131,774,000 80,308,000 18,540,000 92,620,000 6,566,000 -23,727,000 17,464,000 83,703,000 -10,317,000 13,554,000 -36,212,000 130,881,000 -673,673,000 -55,510,000 53,219,000 750,274,000 -62,739,000 130,063,000 436,574,000 73,163,000 199,919,000 11,927,000 -23,779,000 147,815,000 160,413,000 21,346,000 119,683,000 8,588,000 65,211,000 -10,197,000 -6,988,000 85,408,000 -2,556,000 18,603,000 6,588,000 -1,552,000 4,692,000 525,000 4,268,000 4,500,000 28,156,000 12,246,000 9,274,000 -3,371,000 -1,484,000 15,068,000 -10,978,000 -113,410,000 55,580,000 73,173,000 -196,812,000 -15,507,000 -11,926,000 37,536,000 
      supplemental information
    		                                                         
      cash paid for interest, excluding amounts received of 68,069 under the interest rate cap contract during the nine months ended september 30, 2024
    		                                                         
      cash paid for taxes
    		1,066,000 19,580,000 1,472,000 30,491,000 41,870,000 60,222,000 604,000 10,008,000 35,747,000 42,419,000 336,000 7,446,000 8,421,000 15,500,000 923,000 44,327,000 60,763,000 74,751,000 1,343,000 26,945,000 77,025,000 3,785,000 1,135,000 12,120,000 29,231,000 28,523,000 718,000 40,460,000 22,104,000 376,000 26,419,000 1,207,000 24,419,000 34,309,000 1,209,000 23,203,000 31,969,000 733,000 42,659,000 2,812,000 6,145,000 45,692,000 1,140,000 14,506,000 45,140,000 204,000 1,670,000 29,332,000 103,000 1,385,000 11,760,000 23,684,000 980,000 -4,357,000 5,611,000 2,406,000 443,000 
      revenue
    		489,638,000                                                         
      costs and expenses:
    		                                                         
      cost of services, exclusive of depreciation and amortization
    		388,191,000                                                         
      total costs and expenses
    		403,404,000                                                         
      other operating income
    		0                                                         
      income from operations
    		86,234,000                                                         
      other income and expense:
    		                                                         
      interest expense
    		-24,060,000                                                         
      income from discontinued operations before income taxes
    		62,174,000                                                         
      income tax expense
    		22,435,000                                                         
      income from discontinued operations, net of tax
    		39,739,000                                                         
      less: net income attributable to non-controlling interests
    		8,909,000                                                         
      income from discontinued operations, net of tax, attributable to select medical holdings corporation’s common stockholders
    		30,830,000                                                         
      proceeds from sale of assets
    		 15,000 24,000      4,000 36,000 20,000  50,000 5,277,000 37,000                             0 0 16,511,000 0           
      cash paid for interest, excluding amounts received of 44,954 under the interest rate cap contract during the six months ended june 30, 2024
    		                                                         
      (gain) loss on sale or disposal of assets
    		  -23,000    44,000                                                   
      cash paid for interest, excluding amounts received of 22,515 under the interest rate cap contract during the three months ended march 31, 2024
    		  23,772,000                                                       
      gain on sale of assets and businesses
    		                   2,160,000 -16,842,000 -542,000 -7,339,000 28,000 5,000 -121,000 -6,233,000 -9,129,000 -6,467,000 -513,000                            
      amortization of debt discount, premium and issuance costs
    		       748,000 725,000 609,000 565,000 576,000 573,000 565,000 558,000 562,000 560,000 552,000 543,000 549,000 542,000 540,000 553,000 2,097,000 3,143,000 3,095,000 3,231,000 9,845,000 3,350,000 3,136,000 2,552,000 3,422,000 4,768,000 3,386,000 3,691,000 2,719,000 2,098,000 1,929,000 1,798,000 2,051,000                  
      government advances
    		           -942,000 -5,529,000 -14,391,000 -62,928,000 -75,715,000 -91,767,000   0 1,124,000                                     
      purchases of property, equipment, and other assets
    		   -63,429,000 -50,683,000 -55,548,000 -52,517,000 -60,603,000 -50,198,000 -59,514,000 -58,885,000                                               
      investment in businesses
    		       1,000 -74,000 0 -9,800,000 0 -10,333,000 -3,653,000 -3,337,000 -4,600,000 -5,182,000 -4,614,000 -6,571,000 -5,568,000 -11,108,000 -4,901,000 -9,848,000 -5,422,000 -8,411,000 -24,649,000 -27,608,000 -12,936,000 -1,537,000 -1,754,000                            
      proceeds from sale of assets and businesses
    		   22,000 1,908,000 2,068,000 265,000         15,564,000 1,794,000 9,444,000 19,000 0 70,919,000 1,171,000 11,230,000 9,000 58,000 123,000 2,000 6,691,000 5,981,000 691,000 15,040,000 19,512,000                          
      payment on senior notes, including call premium
    		                                                         
      proceeds from senior notes, net of issuance costs
    		                                                         
      repurchase of common stock
    		   -19,981,000 -16,524,000   -1,709,000 -9,544,000   -1,914,000 -14,991,000 -126,947,000 -51,676,000 -13,426,000 -64,440,000   -1,792,000 -4,827,000 -724,000 -8,691,000 -1,222,000 -23,689,000   -5,640,000 -767,000 -122,000                 -28,356,000 -1,259,000 -2,026,000         
      purchase of membership interests of concentra group holdings parent
    		                   -210,163,000 0 0 -366,203,000                                   
      cash transferred to concentra at separation
    		                                                         
      supplemental information:
    		                                                         
      cash paid for interest, excluding amounts received of 19,584, 82,818, and 68,069 under the interest rate cap contract for the years ended december 31, 2022, 2023 and 2024, respectively.
    		                                                         
      non-cash investing and financing activities:
    		                                                         
      liabilities for purchases of property and equipment
    		                                                         
      land improvements
    		                                                         
      leasehold improvements
    		                                                         
      buildings
    		                                                         
      building improvements
    		                                                         
      furniture and equipment
    		                                                         
      cash paid for interest, excluding amounts received of 60,353 and 68,069 under the interest rate cap contract
    		                                                         
      balance as of january 1
    		    0 0 26,297,000  0 0 34,043,000  0 0 39,033,000  0 0 398,171,000  0                                     
      net income attributable to redeemable non-controlling interests
    		    0 0 2,425,000  0 0 1,641,000  0 0 1,918,000  0 0 9,626,000  0                                     
      distributions to redeemable non-controlling interests
    		    0 0 -2,333,000  0 0 -1,900,000                                               
      redemption value adjustment on redeemable non-controlling interests
    		    0 0 1,901,000  0 0 436,000  0 0 1,381,000  0 0 38,405,000                                       
      other
    		        0 0 179,000  0 0 536,000  0 0 343,000  0                                     
      balance as of march 31
    		    0 0 28,290,000  0 0 34,399,000  0 0 41,670,000  0 0 445,931,000  0                                     
      distributions to and purchases of redeemable non-controlling interests
    		    0    0    0 0 -1,198,000  0 0 -614,000  0                                     
      balance as of june 30
    		    0    0    0    0    0                                     
      balance as of september 30
    		                                                         
      cash paid for interest, excluding amounts received of 38,284 and 44,954 under the interest rate cap contract
    		                                                         
      cash paid for interest, excluding amounts received of 17,828 and 22,515 under the interest rate cap contract
    		      88,834,000                                                   
      unearned government assistance
    		           -130,000 -350,000 392,000 101,000 -2,321,000 -1,684,000 -97,716,000 19,207,000 15,669,000 21,433,000                                     
      proceeds from term loans
    		       0                614,423,000    779,904,000 0 779,904,000 -335,000 1,139,822,000                          
      increase in overdrafts
    		                         -3,874,000 6,050,000                               
      cash paid for interest, excluding amounts received of 19,584 and 82,818 under the interest rate cap contract for the years ended december 31, 2022 and 2023, respectively.
    		                                                         
      cash paid for interest, excluding amounts received of 6,232 and 60,353 under the interest rate cap contract
    		                                                         
      cash paid for interest, excluding amounts received of 103 and 38,284 under the interest rate cap contract
    		                                                         
      cash paid for interest, excluding amounts received of 17,828 under the interest rate cap contract for the three months ended march 31, 2023
    		          84,531,000                                               
      cash paid for interest, excluding 19,584 received under the interest rate cap contract for the year ended december 31, 2022
    		                                                         
      income taxes
    		            12,905,000 6,717,000 16,598,000  -29,452,000 -1,642,000 44,618,000  -34,328,000 32,330,000 11,413,000  -15,428,000 -1,484,000 17,830,000 9,072,000 772,000 11,838,000 3,979,000 15,420,000 -23,788,000 9,467,000 19,354,000 -3,170,000 -6,500,000 24,916,000                    
      cash paid for interest, excluding amounts received of 6,232 under interest rate cash flow hedge for the nine months ended september 30, 2022
    		                                                         
      cash paid for interest
    		             20,700,000 53,517,000 13,633,000 51,615,000 14,485,000 52,470,000 15,062,000 54,050,000 18,239,000 67,885,000 33,902,000 51,181,000 60,710,000 37,199,000 134,378,000 62,105,000 35,233,000 38,085,000 38,565,000 23,613,000 47,771,000 21,544,000 20,005,000 31,197,000 8,735,000 24,700,000 14,407,000 6,525,000 26,708,000 27,206,000 35,744,000 1,093,000 31,285,000 35,343,000 17,924,000 41,365,000 6,042,000 43,969,000 9,890,000 46,038,000 10,794,000 58,368,000 9,771,000 52,001,000 
      proceeds from 6.250% senior notes
    		                       705,811,000                                  
      payment on 6.375% senior notes
    		                       0                                  
      revolving facility debt issuance costs
    		                       0    -1,333,000 0 -1,333,000                            
      proceeds from exercise of stock options
    		                       92,000 413,000   1,633,000 882,000 738,000 346,000 617,000                          
      gain on sale or disposal of assets and businesses
    		                -581,000 422,000 72,000                                       
      non-cash equity exchange for acquisition of u.s. healthworks
    		                           238,000,000 0 238,000,000                            
      redemption adjustment on redeemable non-controlling interests
    		                    0                                     
      operating lease right-of-use assets obtained in exchange for lease liabilities, excluding adoption impact of asc topic 842 at january 1, 2019
    		                     64,231,000 67,894,000                                   
      net decrease in cash and cash equivalents
    		                      -262,719,000    -27,363,000   -2,866,000                       -10,507,000  -15,507,000 -11,926,000 -44,064,000 
      1.
    		                                                         
      benefit from bad debts
    		                       694,000 386,000 391,000 1,567,000 -373,000 17,000 85,000 18,174,000 20,625,000 17,677,000 17,517,000 16,397,000 18,287,000 12,286,000 12,670,000 11,115,000 11,018,000 9,262,000 8,846,000 9,321,000 11,199,000 10,029,000 10,375,000 11,709,000 13,943,000 14,350,000 9,698,000 11,317,000 10,845,000 9,287,000 7,194,000 10,782,000 8,835,000 5,589,000 
      dividends paid to holdings
    		                                                         
      equity investment by holdings
    		                                                         
      gain on sale of equity investment
    		                                                         
      impairment of equity investment
    		                                0 0 5,339,000                       
      proceeds from sale of equity investment
    		                                                         
      distributions to non-controlling interests
    		                           -306,427,000 -14,572,000 -286,641,000                 -1,237,000 -599,000 -1,671,000 -813,000 -1,527,000 -345,000 -1,746,000 -280,000    
      as reported
    		                                                         
      condensed consolidated statements of operations
    		                                                         
      net operating revenues
    		                           1,077,014,000                              
      bad debt expense
    		                           169,000                              
      tax benefit from stock based awards
    		                                245,000 253,000 16,000 372,000 6,000 5,000                    
      purchase of non-controlling interests
    		                                                         
      loss on disposal of assets
    		                                227,000                        305,000 
      acquisition of businesses, net of cash acquired
    		                                              0 3,921,000 -2,000,000 0    -21,000,000 125,000 -214,018,000 -81,000 
      repayments of bank overdrafts
    		                                                         
      loss on early retirement of debt
    		                               6,527,000 10,853,000 0 773,000    0 2,277,000 0 17,280,000 1,467,000    0           
      amortization of leasehold interests
    		                                162,000 172,000 123,000                       
      changes in operating assets and liabilities, net of effects from acquisition of businesses:
    		                                                         
      due to third party payors
    		                                                         
      net proceeds from term loans
    		                                                         
      proceeds from issuance of common stock
    		                                831,000 636,000 21,000 279,000 836,000 489,000 3,354,000 1,943,000    557,000 452,000 95,000 0 88,000 81,000   15,000 110,000     
      proceeds from issuance of non-controlling interest
    		                                8,743,000   0                      
      proceeds from (repayments of) bank overdrafts
    		                                       5,970,000                  
      supplemental cash flow information
    		                                                         
      cash and cash equivalents
    		                                                         
      identifiable tangible assets, excluding cash and cash equivalents
    		                                                         
      identifiable intangible assets
    		                                                         
      goodwill
    		                                     1,652,005,000 12,000 1,642,857,000 40,000                 
      total assets
    		                                                         
      total liabilities
    		                                                         
      acquired non-controlling interests
    		                                                         
      net assets acquired
    		                                                         
      less: cash and cash equivalents acquired
    		                                                         
      net cash paid
    		                                                         
      gain on sale of assets and business
    		                                                         
      proceeds from sale of assets and business
    		                                 8,766,000 62,600,000                       
      net proceeds from select term loans
    		                                                         
      net proceeds from concentra term loans
    		                                                         
      borrowings on select term loans, net of discount and debt issuance costs
    		                                  600,127,000                       
      payments on select term loans
    		                                                         
      issuance of 6.375% senior notes, includes premium
    		                                      0 111,650,000                  
      proceeds from concentra term loans, net of discounts
    		                                   0                      
      debt issuance costs
    		                                              0           
      proceeds from bank overdrafts
    		                                                        2,992,000 
      balance at december 31, 2014 — redeemable non-controlling interests
    		                                                         
      issuance of redeemable non-controlling interests
    		                                                         
      redeemable non-controlling interests acquired in business combination
    		                                                         
      changes in the redemption amounts of redeemable non-controlling interests
    		                                                         
      repurchase of redeemable non-controlling interests
    		                                                         
      balance at september 30, 2015 — redeemable non-controlling interests
    		                                                         
      income from disposal of assets
    		                                    246,000 5,000 22,000 121,000         188,000  -48,000 527,000 133,000     
      non-cash stock compensation expense
    		                                    3,395,000 2,399,000 1,965,000 2,155,000 1,866,000 1,788,000 1,749,000 1,391,000 1,338,000 1,261,000 918,000 900,000 880,000 831,000 460,000 437,000 508,000 352,000 931,000 951,000 927,000 
      issuance of non-controlling interests in concentra group holdings
    		                                                         
      acquisition of concentra inc. non-controlling interests
    		                                                         
      changes in the redemption amounts of non-controlling interests
    		                                                         
      net income attributable to non-controlling interests
    		                                                         
      balance at june 30, 2015 — redeemable non-controlling interests
    		                                                         
      borrowings on revolving credit facility
    		                                     215,000,000 230,000,000 285,000,000 125,000,000 265,000,000 190,000,000      205,000,000 137,000,000    0 159,000,000   
      payments on revolving credit facility
    		                                                -105,000,000 -132,000,000    -90,000,000 -139,000,000   
      payments on credit facility term loans
    		                                                         
      trademarks
    		                                     57,709,000 0 57,709,000 0                 
      certificates of need
    		                                     12,848,000 43,000 12,188,000 118,000                 
      accreditations
    		                                     2,083,000 0 2,083,000 0                 
      total
    		                                     1,724,645,000 55,000 1,714,837,000 158,000                 
      due to third-party payors
    		                                      790,000 1,154,000 -2,327,000 3,320,000 1,897,000 -1,378,000 1,253,000 485,000 -586,000 10,000 -474,000 -1,146,000 -1,343,000 530,000 57,000 -274,000 4,483,000 -617,000 -5,961,000 
      investment in businesses, net of distributions
    		                                                         
      borrowings on credit facility term loans, net of discount
    		                                        0 0 298,500,000               
      repurchase of senior floating rate notes
    		                                                     0    
      repurchase of 7 5/8% senior subordinated notes
    		                                                         
      proceeds from (repayment of) bank overdrafts
    		                                             2,491,000   -9,418,000   -3,113,000 17,314,000  -112,000   
      income and deferred taxes
    		                                       19,280,000   21,293,000 1,680,000 -17,503,000 27,382,000 17,659,000 -18,219,000 26,238,000  -5,995,000 -6,211,000 16,136,000  -8,267,000 8,171,000 11,982,000 
      gain from disposal or sale of assets
    		                                         40,000 41,000               
      amortization of debt discount and issuance costs
    		                                        1,919,000 2,284,000 2,304,000               
      issuance of 6.375% senior notes
    		                                        0                 
      repayment of bank overdrafts
    		                                                         
      investment in business, net of distributions
    		                                                         
      amortization of debt discount
    		                                           501,000 311,000 311,000 309,000 455,000 507,000 497,000 478,000 468,000 450,000 442,000 334,000 328,000 315,000 
      borrowings on revolving credit facilities
    		                                           25,000,000 110,000,000 230,000,000 160,000,000           
      payments on revolving credit facilities
    		                                              -175,000,000           
      borrowings on 2011 credit facility term loans, net of discount
    		                                                         
      payments on 2011 credit facility term loans
    		                                                         
      payments on 2005 credit facility term loans, net of premium
    		                                                         
      repurchase of 10% senior subordinated notes
    		                                              0           
      repurchase of 7 5/8% senior subordinated notes, net of premiums
    		                                                         
      investment in business
    		                                              0           
      borrowings on 2011 credit facility term loan, net of discount
    		                                              0           
      payments on 2011 credit facility term loan
    		                                                         
      payments on 2005 credit facility term loans, net of call premium
    		                                              0           
      repurchase of 7 5/8% senior subordinated notes, net of tender premium
    		                                              0           
      payments on 2005 credit facility term loans
    		                                                         
      net increase (decrease in) cash and cash equivalents
    		                                                10,703,000         
      gain from disposal of assets
    		                                              19,000       -672,000    
      non-cash gain from interest rate swaps
    		                                                 -168,000 -148,000 -182,000 -134,000     
      principal payments on seller and other debt
    		                                              -2,366,000 -986,000 -2,494,000 -769,000 -2,225,000 -2,085,000 -2,357,000 -1,537,000 -771,000 -180,000 -111,000 
      proceeds from sale of business
    		                                                250,000        880,000 
      payment on credit facility term loans
    		                                                -59,563,000         
      gain on early retirement of debt
    		                                                     2,870,000    
      proceeds from sale of business units
    		                                                      2,832,000   
      proceeds from sale of property
    		                                                     0    
      insurance proceeds
    		                                                         
      proceeds from initial public offering, net of fees
    		                                                     33,866,000    
      payment of initial public offering costs
    		                                                     -1,153,000    
      payment on credit facility term loan
    		                                                     -168,400,000    
      repurchase of 75/8% senior subordinated notes
    		                                                         
      repurchase of common and preferred stock
    		                                                     0 0 0 -14,000 
      equity contribution and loans from non-controlling interests
    		                                                     0    
      exercise of stock options
    		                                                      40,000   
      borrowings (repayment) of bank overdrafts
    		                                                         
      non-cash income from interest rate swaps
    		                                                         
      changes in restricted cash
    		                                                      2,914,000   
      credit facility term loan borrowing
    		                                                      0   
      proceeds from issuance of restricted stock
    		                                                      0   
      gain from disposal of assets and sale of business units
    		                                                      2,074,000   
      non-cash loss (income) from interest rate swaps
    		                                                         
      minority interests
    		                                                      237,000 813,000 323,000 
      accrued interest
    		                                                      -20,829,000 21,446,000 -21,304,000 
      earnout payments
    		                                                         
      sale of building
    		                                                      0   
      payments on credit facility term loan
    		                                                      -1,700,000   
      dividends to holdings
    		                                                         
      distributions to minority interests
    		                                                      -486,000 -179,000 -843,000 
      effect of exchange rate changes on cash and cash equivalents
    		                                                         
      gain from sale of business
    		                                                        -1,173,000 
      non-cash loss (income) from hedge
    		                                                         
      restricted cash
    		                                                        -53,000 
      net repayments on credit facility debt
    		                                                        -1,450,000 
      proceeds from sale of restricted stock
    		                                                        200,000 
      amorization of debt discount
    		                                                         
      income taxes and deferred taxes
    		                                                         
      issuance of senior floating rate notes
    		                                                         
      equity investment
    		                                                         
      proceeds from credit facility
    		                                                         
      proceeds from 7 5/8% senior subordinated notes
    		                                                         
      proceeds from 10% senior subordinated notes
    		                                                         
      repayment of senior subordinated notes
    		                                                         
      payment of deferred financing costs
    		                                                         
      costs associated with equity investment
    		                                                         
      repurchases of common stock, preferred stock and options
    		                                                         
      payment of preferred stock dividends
    		                                                         
      borrowing (repayment) of bank overdrafts
    		                                                         
      gain on sale of business
    		                                                         
      non cash compensation expense
    		                                                         
      proceeds from sale of business, net of cash sold
    		                                                         
      proceeds from sale of membership interests
    		                                                         
      proceeds from senior floating rate notes
    		                                                         
      deferred financing costs
    		                                                         
      repurchases of common stock and options
    		                                                         
      payment of common stock dividends
    		                                                         
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.