7Baggers

Select Medical Holdings Corporation
(NYSE:SEM) 

SEM stock logo

Select Medical Holdings Corporation, through its subsidiary, Select Medical Corporation, operates critical illness recovery hospitals, rehabilitation hospitals, outpatient rehabilitation clinics, and occupational health centers in the United States. The company's Critical Illness Recovery Hospital s...

Founded: 1996
Full Time Employees: 35,700
Sector: Healthcare
Industry: Medical Care Facilities

Share this website to your friends
• Market Cap:
• Exchange:
• Shs Outstanding:
• Employees:
• Beta:
• Return on Equity (ROE) ttm:
• Return on Assets (ROA) ttm:
• EPS ttm:
• Book value per Share:
• Cash per Share:
• Current ast per Share:
• P/E ttm:
• P/E forward:
• P/E ttm high:
• P/E ttm low:
• P/S ttm:
• P/B ttm:
• P/FCF ttm:
• PEG ratio:
• Cash Ratio ttm:
• Quick Ratio ttm:
• Current Ratio ttm:
• Gross Mgn ttm:
• EBITDA Mgn ttm:
• Operating Mgn ttm:
• Net Income Mgn ttm:
• Trailing Div yield:
• Forward Div yield:
• Payout Ratio ttm:
• Ex-Dividend date:
• Target Price High:
• Target Price Low:
• Target Price Mean:
• Number of Analysts:
• Debt Ratio ttm:
• Debt to Equity ttm:
• Total Net Debt:
At a glance:
Bull Thesis:
Bear Thesis:
Main Competitors:
Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 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 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 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 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2007-09-30 2007-06-30 2007-03-31 2006-09-30 2006-06-30 2006-01-01 
                                                                       
      revenue
    1,421,476,000 1,396,634,000 1,363,445,000 1,339,579,000 1,353,172,000 -122,587,000 1,761,220,000 1,759,663,000 1,788,809,000 1,658,856,000 1,665,694,000 1,674,528,000 1,664,980,000 1,581,456,000 1,567,794,000 1,584,741,000 1,599,547,000 1,559,811,000 1,534,221,000 1,564,020,000 1,546,463,000                                               
      yoy
    5.05% -1239.30% -22.59% -23.87% -24.35% -107.39% 5.73% 5.08% 7.44% 4.89% 6.24% 5.67% 4.09% 1.39% 2.19% 1.32% 3.43%                                                   
      qoq
    1.78% 2.43% 1.78% -1.00% -1203.85% -106.96% 0.09% -1.63% 7.83% -0.41% -0.53% 0.57% 5.28% 0.87% -1.07% -0.93% 2.55% 1.67% -1.91% 1.14%                                                
      costs and expenses:
                                                                       
      cost of services, exclusive of depreciation and amortization
    1,246,008,000 1,250,800,000 1,215,995,000 1,184,129,000 1,172,611,000 36,908,000 1,523,899,000 1,498,044,000 1,494,610,000 1,447,086,000 1,442,509,000 1,423,603,000 1,418,819,000 1,408,784,000 1,393,817,000 1,390,550,000 1,407,010,000 1,402,570,000 1,297,682,000 1,291,448,000 1,293,449,000 3,529,421,000 1,180,951,000 1,082,456,000 1,200,371,000 3,457,891,000 1,183,111,000 1,150,150,000 1,132,092,000                                       
      general and administrative
    39,384,000 45,693,000 40,050,000 35,663,000 33,008,000 80,197,000 47,347,000 49,878,000 48,447,000 44,090,000 41,316,000 42,508,000 42,279,000 38,763,000 39,491,000 37,268,000 37,513,000 37,950,000 37,885,000 35,737,000 35,403,000 102,521,000 35,516,000 33,461,000 33,831,000 94,078,000 34,385,000 31,339,000 28,677,000 91,293,000 29,975,000 29,194,000 31,782,000 86,982,000 27,065,000 28,275,000 28,075,000 27,088,000 25,870,000 28,268,000 22,201,000 24,041,000 21,675,000 19,377,000 18,123,000 17,740,000 17,927,000 17,398,000 17,130,000 18,554,000 14,224,000 11,914,000 14,975,000 16,115,000 16,566,000 20,302,000 19,228,000 9,802,000 12,789,000 12,131,000 34,618,000 12,081,000 12,182,000 11,584,000 9,762,000 11,549,000  
      depreciation and amortization
    37,666,000 36,205,000 34,442,000 34,848,000 34,808,000 -15,285,000 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 49,620,000 155,549,000 50,110,000 52,271,000 51,752,000 159,635,000 52,941,000 54,993,000 52,138,000 151,128,000 50,527,000 51,724,000 46,771,000 121,239,000 38,772,000 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 18,751,000 17,545,000 17,999,000 17,222,000 17,373,000 17,012,000 16,610,000 17,711,000 17,635,000 17,676,000 16,399,000 13,939,000 11,704,000 12,394,000 11,666,000  
      total costs and expenses
    1,323,058,000 1,332,698,000 1,290,487,000 1,254,640,000 1,240,427,000 101,820,000 1,621,389,000 1,601,861,000 1,597,126,000 1,545,160,000 1,536,219,000 1,516,050,000 1,513,523,000 1,499,793,000 1,484,767,000 1,478,899,000 1,495,562,000 1,492,463,000 1,385,695,000 1,378,139,000 1,378,472,000 3,787,491,000 1,266,577,000 1,168,188,000 1,285,954,000 3,711,604,000 1,270,437,000 1,236,482,000 1,212,907,000 3,496,415,000 1,167,564,000 1,175,649,000 1,144,366,000 3,062,657,000 1,025,068,000 1,005,012,000 1,019,596,000 997,633,000 996,577,000 1,001,444,000 972,909,000 802,054,000 716,078,000 690,569,000 684,134,000 660,446,000 668,410,000 667,425,000 642,850,000 656,680,000 652,417,000 462,333,750 626,058,000 617,723,000 605,554,000 588,392,000 546,296,000 507,301,000 512,164,000 503,624,000 512,716,000 469,093,000 445,908,000 406,504,000 389,559,000 404,148,000  
      income from operations
    98,418,000     123,225,000 141,133,000 157,800,000 193,967,000 114,253,000 129,960,000 159,204,000 151,457,000 86,864,000 91,467,000 120,967,000 103,985,000 77,539,000 150,255,000 283,968,000 202,012,000 411,525,000 156,132,000 119,518,000 128,678,000 348,975,000 122,906,000 124,882,000 111,724,000 317,442,000 99,837,000 120,561,000 108,598,000 283,780,000 72,098,000 115,663,000 91,765,000 56,162,000 101,054,000 86,886,000 48,214,000 85,011,000 79,265,000 82,193,000 78,444,000 62,399,000 88,263,000 82,530,000 70,819,000 93,513,000 91,604,000 73,988,000 68,073,000 81,026,000 87,632,000 48,958,000 41,954,000 72,576,000 72,649,000 69,919,000 32,905,000 31,292,000 60,576,000 60,325,000 54,313,000 77,993,000  
      yoy
         7.85% 8.60% -0.88% 28.07% 31.53% 42.08% 31.61% 45.65% 12.03% -39.13% -57.40% -48.53% -81.16% -3.76% 137.59% 56.99% 17.92% 27.03% -4.30% 15.17% 9.93% 23.11% 3.58% 2.88% 11.86% 38.47% 4.23% 18.34% 405.29% -28.65% 33.12% 90.33% -33.94% 27.49% 5.71% -38.54% 36.24% -10.19% -0.41% 10.77% -33.27% -3.65% 11.55% 4.03% 15.41% 4.53% 51.13% 62.26% 11.64% 20.62% -29.98% 27.50% 131.93% 19.93% 15.90% -39.42% -59.88%      
      qoq
         -12.69% -10.56% -18.65% 69.77% -12.09% -18.37% 5.11% 74.36% -5.03% -24.39% 16.33% 34.11% -48.40% -47.09% 40.57% -50.91% 163.58% 30.63% -7.12% -63.13% 183.94% -1.58% 11.78% -64.80% 217.96% -17.19% 11.02% -61.73% 293.60% -37.67% 26.04% 63.39% -44.42% 16.31% 80.21% -43.28% 7.25% -3.56% 4.78% 25.71% -29.30% 6.95% 16.54% -24.27% 2.08% 23.81% 8.69% -15.99% -7.54% 78.99% 16.69% -42.19% -0.10% 3.90% 112.49% 5.15% -48.34% 0.42% 11.07% -30.36%   
      operating margin %
    6.92% 0% 0% 0% 0% -100.52% 8.01% 8.97% 10.84% 6.89% 7.80% 9.51% 9.10% 5.49% 5.83% 7.63% 6.50% 4.97% 9.79% 18.16% 13.06% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity%  
      other income and expense:
                                                                       
      equity in earnings of unconsolidated subsidiaries
    12,011,000 15,399,000 12,992,000 13,618,000 12,512,000 14,099,000 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 20,675,000 8,765,000 8,324,000 2,588,000 18,039,000 6,950,000 7,394,000 4,366,000 16,473,000 5,432,000 4,785,000 4,697,000 16,623,000 4,431,000 5,666,000 5,521,000 5,268,000 4,546,000 4,652,000 6,348,000 3,848,000 2,592,000 1,239,000 908,000  568,000 1,058,000 1,167,000 2,752,000 2,465,000 1,594,000 1,653,000               
      interest expense
    -28,336,000 -28,871,000 -30,021,000 -29,978,000 -29,072,000 14,704,000 -55,439,000 -37,107,000 -50,763,000 -50,800,000 -50,271,000 -48,997,000 -48,571,000 -47,341,000 -45,204,000 -41,052,000 -35,514,000 -33,870,000 -33,825,000 -33,888,000 -34,402,000 -118,985,000 -34,026,000 -37,366,000 -46,107,000 -146,234,000 -54,336,000 -51,464,000 -50,811,000 -147,824,000 -50,669,000 -50,159,000 -47,163,000                   -23,800,000 -21,526,000 -19,694,000 -25,664,000 -25,339,000 -27,677,000 -29,279,000 -30,042,000 -30,688,000 -33,451,000 -35,678,000 -35,749,000 -32,203,000 -33,002,000 -32,642,000  
      income before income taxes
    82,093,000     97,114,250 107,824,000 127,008,000 153,625,000 73,648,000 76,558,000 120,708,000 111,442,000 46,282,000 54,347,000 86,082,000 73,868,000 57,673,000 127,882,000 261,889,000 182,278,000 320,459,000 136,014,000 90,822,000 92,360,000 207,872,000 56,877,000 80,812,000 71,811,000 178,813,000 56,739,000 81,665,000 56,276,000 163,620,000 38,841,000 83,674,000 36,665,000 5,067,000 74,303,000 77,004,000 51,157,000 63,571,000 60,469,000 61,769,000 56,459,000 40,968,000 49,647,000 58,663,000 44,182,000 75,308,000 70,147,000  48,319,000 40,807,000 61,951,000             
      income tax expense
    18,318,000     23,877,250 26,809,000 32,242,000 36,458,000 11,850,000 15,742,000 28,848,000 26,185,000 8,570,000 16,221,000 19,820,000 17,942,000 -8,637,000 27,665,000 65,681,000 45,064,000 80,310,000 31,557,000 23,336,000 21,912,000 50,871,000 12,847,000 20,826,000 18,467,000 44,550,000 14,060,000 21,106,000 12,294,000 3,504,250 14,017,000 32,374,000 13,202,000 1,075,000 33,450,000 17,060,000 18,347,000 23,517,000 23,184,000 23,775,000 22,092,000 15,761,000 19,769,000 21,861,000 17,181,000 28,646,000 27,575,000 14,159,000 20,243,000 16,597,000 26,564,000 1,639,000 5,574,000 17,306,000 17,109,000 4,440,000 -804,000  10,568,000 12,430,000 8,717,000 17,942,000  
      net income
    63,775,000 37,742,000 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 66,310,000 100,217,000 196,208,000 137,214,000 240,149,000 104,457,000 67,486,000 70,448,000 157,001,000 44,030,000 59,986,000 53,344,000 134,263,000 42,679,000 60,559,000 43,982,000 195,821,000 24,824,000 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 27,001,000 46,662,000 42,572,000 37,337,000 28,076,000 24,210,000 35,387,000 21,894,000 8,665,000 26,173,000 25,632,000 31,299,000 1,389,000 -3,106,000 14,315,000 17,471,000 12,544,000 27,271,000  
      yoy
    -14.66% 904.85% -45.47% -38.92% -36.22% -93.92% 33.21% 3.16% 37.43% 63.87% 59.51% 38.63% 52.45% -43.13% -61.96% -66.23% -59.24% -72.39% -4.06% 190.74% 94.77% 52.96% 137.24% 12.50% 32.06% 16.94% 3.17% -0.95% 21.29% -31.44% 71.93% 18.05% 87.45% 4805.34% -39.24% -14.42% -28.49% -90.03% 9.57% 57.77% -4.53% 58.90% 24.79% 3.24% 27.28% -45.98% -29.82% -1.43% -3.83% 92.74% 20.30% 70.54% 224.02% -7.50% 38.06% -30.05% 523.83% -942.66% 79.06% 79.15% -88.93% -111.39%      
      qoq
    68.98% -14.57% -23.67% -22.55% 1889.67% -95.36% -14.51% -19.12% 89.60% 1.61% -33.79% 7.74% 126.07% -1.09% -42.46% 18.48% -15.66% -33.83% -48.92% 42.99% -42.86% 129.90% 54.78% -4.20% -55.13% 256.58% -26.60% 12.45% -60.27% 214.59% -29.52% 37.69% -77.54% 688.84% -51.61% 118.64% 487.75% -90.23% -31.85% 82.70% -18.09% 7.43% -1.87% 10.55% 36.34% -15.63% -18.81% 36.30% -42.13% 9.61% 14.02% 32.99% 15.97% -31.59% 61.63% 152.67% -66.89% 2.11% -18.11% 2153.35% -144.72% -121.70% -18.06% 39.28% -54.00%   
      net income margin %
    4.49% 2.70% 3.24% 4.32% 5.52% -3.06% 4.60% 5.39% 6.55% 3.73% 3.65% 5.49% 5.12% 2.38% 2.43% 4.18% 3.50% 4.25% 6.53% 12.55% 8.87% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% -Infinity% Infinity% Infinity% Infinity% Infinity%  
      less: net income attributable to non-controlling interests
    19,780,000 17,568,000 15,387,000 17,308,000 18,051,000 19,806,000 25,387,000 17,203,000 20,270,000 15,529,000 12,636,000 13,623,000 14,452,000 10,208,000 10,960,000 11,055,000 6,809,000 16,453,000 23,289,000 31,314,000 26,668,000 58,100,000 27,511,000 15,836,000 17,323,000 39,284,000 13,298,000 15,170,000 12,510,000 29,340,000 9,762,000 14,048,000 10,243,000 37,099,000 6,362,000 9,245,000 7,593,000  6,918,000 5,111,000 3,404,000 3,114,000 2,222,000 2,653,000 1,323,000 1,935,000 2,098,000 2,384,000 1,048,000 1,644,000 1,030,000 478,000 785,000 1,938,000 1,715,000 947,000 656,000 1,711,000 1,406,000 1,388,000 806,000       
      net income attributable to select medical holdings corporation
    43,995,000 20,174,000 28,793,000 40,571,000 56,681,000 -16,050,000 55,628,000 77,563,000 96,897,000 46,269,000 48,180,000 78,237,000 70,805,000 27,504,000 27,166,000 55,207,000 49,117,000 49,857,000 76,928,000 164,894,000 110,546,000 182,049,000 76,946,000 51,650,000 53,125,000 117,717,000 30,732,000                     34,418,000                    
      earnings per common share
                                                                       
      basic and diluted
    350     445 430 600 750 360 380 610 560 220 210 430 370 652.5 570 1,220                                                
      other operating income
       1,592,000  -178,000 1,302,000 -2,000 2,284,000 557,000 485,000 726,000  5,201,000 8,440,000 15,125,000  10,191,000 1,729,000 98,087,000 34,021,000 91,172,000 -1,160,000 54,988,000                                            
      income from continuing operations before other income and expense
     63,936,000 72,958,000 86,531,000 112,745,000                                                               
      loss on early retirement of debt
         -17,906,000 -10,939,000    -14,692,000               -19,440,000 -18,643,000      -10,255,000                   -7,754,500  -20,385,000              
      income from continuing operations before income taxes
     50,464,000 55,929,000 70,171,000 96,185,000                                                          24,883,000 29,901,000 21,261,000 45,213,000  
      income tax expense from continuing operations
     12,722,000 11,749,000 12,292,000 21,453,000                                                               
      income from continuing operations, net of tax
     37,742,000 44,180,000 57,879,000 74,732,000                                                               
      discontinued operations:
                                                                       
      income from discontinued business
                                                                       
      income tax expense from discontinued business
                                                                       
      income from discontinued operations, net of tax
                                                                       
      net income attributable to select medical holdings corporation’s common stockholders:
                                                                       
      net income attributable to select medical holdings corporation’s common stockholders
     20,174,000 28,793,000 40,571,000 56,681,000                                                               
      earnings per common share
                                                                       
      continuing operations - basic and diluted
     160 230 320 440                                                               
      discontinued operations - basic and diluted
                                                                       
      total earnings per common share - basic and diluted
     160 230 320 440                                                               
      interest income
                     601,000   4,749,000                               71,500 119,000 111,000 56,000     10,000 2,000 158,000 869,000 929,000 319,000 197,000  
      gain on sale of businesses
                         7,244,000 5,143,000 346,000 7,201,000                                           
      earnings per common share
                                                                       
      basic
                        820 1,360 570 390 400 870 230                                         
      net operating revenues
                         355,967,250 1,423,869,000 1,232,718,000 1,414,632,000 4,060,579,000 1,393,343,000 1,361,364,000 1,324,631,000 3,813,857,000 1,267,401,000 1,296,210,000 1,252,964,000 3,346,437,000 1,097,166,000 1,120,675,000 1,111,361,000 1,053,795,000 1,097,631,000 1,088,330,000 1,021,123,000 887,065,000 795,343,000 772,762,000 762,578,000 722,845,000 756,673,000 749,955,000 713,669,000 750,193,000 744,021,000 718,441,000 694,131,000 698,749,000 693,186,000 637,350,000 588,250,000 579,877,000 584,813,000 573,543,000 545,621,000 500,385,000 506,484,000 466,829,000 443,872,000 482,141,000  
      earnings per common share
                                                                       
      basic
                        820 1,360 570 390 400 870 230                                         
      diluted
                         1,360 570 390 400 870 230                                         
      non-operating gain
                                6,532,000 6,877,000 2,139,000 6,478,000 399,000      13,035,000 25,087,000                            
      net income attributable to select medical holdings corporation and select medical corporation
                               44,816,000 40,834,000 8,229,250 32,917,000 46,511,000 33,739,000 4,615,500 18,462,000 42,055,000  6,471,000 33,935,000 54,833,000 29,406,000 36,940,000 35,063,000 35,341,000 33,044,000 23,272,000 27,780,000  25,953,000 45,018,000 41,542,000 17,746,750 27,291,000 22,272,000 33,672,000 14,174,250 8,009,000 24,462,000 24,226,000 11,342,750 583,000       
      cost of services
                                 271,765,500 1,087,062,000 1,094,731,000 1,065,813,000 2,795,266,000 938,910,000 920,230,000 928,357,000 915,703,000 916,985,000 922,262,000 900,949,000 743,879,000 664,385,000 642,881,000 638,764,000 617,281,000 625,730,000 624,904,000 598,984,000 612,669,000 611,619,000 427,227,750 581,829,000 569,666,000 557,416,000 541,019,000 498,739,000 470,044,000 472,377,000 466,664,000 448,702,000 429,831,000 410,952,000 377,627,000 362,070,000 372,500,000  
      income per common share:
                                                                       
      basic
                                 60    1,190              250   290 250   220 140 50 150 150 230        
      diluted
                                 60    1,190              240   290 250   220 130 50 150 150 240        
      weighted-average shares outstanding:
                                                                       
      basic
                                     128,955                  150,501,000                
      diluted
                                     129,126                  150,725,000                
      bad debt expense
                                     59,170,000 20,321,000 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 10,000,500 11,709,000 13,943,000 14,350,000 9,698,000 11,317,000 10,845,000 9,287,000 7,194,000 11,720,000 10,782,000 8,835,000 5,589,000 5,333,000 8,433,000  
      non-operating income
                                                                       
      net income attributable to select medical holdings corporation and select medical corporation
                               44,816,000 40,834,000 8,229,250 32,917,000 46,511,000 33,739,000 4,615,500 18,462,000 42,055,000  6,471,000 33,935,000 54,833,000 29,406,000 36,940,000 35,063,000 35,341,000 33,044,000 23,272,000 27,780,000  25,953,000 45,018,000 41,542,000 17,746,750 27,291,000 22,272,000 33,672,000 14,174,250 8,009,000 24,462,000 24,226,000 11,342,750 583,000       
      basic
                                                                       
      diluted
                                                                       
      net income attributable to select medical holdings
                                                                       
      corporation and select medical corporation
                                        15,870,000                               
      basic
                                                                       
      diluted
                                                                       
      dividends paid per share
                                                                       
      gain on sale of equity investment
                                            29,647,000                           
      other income
                                                           168,000 148,000 182,000 134,000   -1,372,000  1,173,000    
      equity in losses of unconsolidated subsidiaries
                                                         -251,000 -73,000 -254,000 -186,000           
      gain on early retirement of debt
                                                               -2,870,000 1,129,000       
      income from operations before income taxes
                                                       33,058,500    25,114,750 14,239,000 43,479,000 42,741,000 35,739,000 585,000 -5,837,000      
      less: preferred dividends
                                                                6,667,000       
      net income available to common stockholders and participating securities
                                                           20,947,000 8,009,000 24,462,000          
      net income available to common stockholders
                                                              24,226,000 6,458,500        
      net loss available to common stockholders
                                                                -6,084,000       
      loss per common share:
                                                                       
      basic
                                                                -90       
      diluted
                                                                -90       
      income from operations before minority interests and income taxes
                                                                 -5,600,000      
      minority interest in consolidated subsidiary companies
                                                                 237,000 813,000 323,000 369,000 335,000  
      income tax benefit
                                                                 -2,731,000      
      income from continuing operations before minority interests and income taxes
                                                                  25,696,000 30,224,000 21,630,000 45,548,000  
      income from continuing operations
                                                                   17,471,000 12,544,000 27,271,000  
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 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 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 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 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 
                                                                        
        assets
                                                                        
        current assets:
                                                                        
        cash and cash equivalents
      25,683,000 26,523,000 60,054,000 52,349,000 53,213,000 59,694,000 191,468,000 111,160,000 92,620,000 84,006,000 77,440,000 101,167,000 83,703,000 97,906,000 108,223,000 94,669,000 130,881,000 74,310,000 747,983,000 803,493,000 750,274,000 577,061,000 639,800,000 509,737,000 73,163,000 335,882,000 135,963,000 124,036,000 147,815,000 175,178,000 160,413,000 141,029,000 119,683,000 122,549,000 73,799,000 65,211,000 68,223,000 78,420,000 85,408,000 22,635,000 25,191,000 6,588,000 3,140,000 4,692,000 9,293,000 8,768,000 4,500,000 49,676,000 21,520,000 9,274,000 12,043,000 10,213,000 13,584,000 15,068,000 4,365,000 15,343,000 128,753,000 73,173,000 83,680,000 280,492,000 10,103,000 25,610,000 37,536,000 81,600,000 5,040,000 12,140,000 
        accounts receivable
      949,480,000 864,207,000 825,811,000 909,460,000 908,185,000 821,385,000 1,060,007,000 1,077,984,000 1,134,788,000 940,335,000 944,219,000 964,680,000 997,274,000 941,312,000 909,030,000 921,623,000 941,434,000 889,303,000 898,823,000 931,179,000 959,715,000 896,763,000 842,615,000 749,245,000 816,405,000 762,677,000 798,805,000 791,769,000 779,861,000 706,676,000 746,816,000 775,610,000 806,391,000 691,732,000 714,236,000 691,520,000 592,711,000  626,375,000 574,845,000 633,621,000 493,409,000 453,184,000 467,738,000 423,334,000 427,191,000 428,571,000 392,647,000 423,859,000 465,687,000 413,743,000 394,989,000 406,472,000 439,310,000 353,432,000 325,338,000 338,320,000 360,997,000 307,079,000 310,855,000 257,318,000 261,311,000 227,549,000 199,927,000 247,972,000 268,024,000 
        prepaid income taxes
      12,412,000 19,622,000 10,719,000 7,223,000 6,566,000 26,601,000 8,669,000 8,448,000 9,034,000 22,726,000 22,716,000 16,513,000 16,893,000 31,868,000 19,227,000 42,642,000 40,761,000 55,620,000 15,460,000 5,417,000 5,657,000 5,686,000 23,536,000 9,204,000 12,634,000 18,585,000 18,804,000 12,318,000 7,709,000 20,539,000 19,852,000 14,488,000 21,270,000 31,387,000  2,402,000 11,474,000   2,303,000   678,000  4,044,000 12,219,000  1,410,000 4,061,000  9,497,000 10,340,000 27,223,000  12,699,000 12,966,000 6,841,000  11,179,000 13,338,000 6,019,000  2,570,000    
        other current assets
      124,522,000 114,929,000 123,880,000 111,858,000 124,328,000 112,097,000 144,053,000 145,069,000 161,238,000 151,617,000 145,816,000 138,186,000 143,736,000 125,370,000 180,766,000 162,114,000 137,775,000 120,206,000 117,075,000 128,081,000 119,668,000 114,490,000 118,183,000 95,143,000 95,828,000 95,848,000 96,721,000 99,942,000 117,500,000 90,131,000 96,214,000 88,215,000 93,997,000 75,158,000 83,211,000 85,081,000 82,680,000 88,862,000 86,423,000 78,402,000 78,153,000 52,093,000 44,081,000 44,288,000 39,968,000 38,077,000 38,278,000 31,620,000 31,383,000 34,178,000 29,822,000 28,106,000 29,686,000 31,264,000 28,176,000 25,897,000 24,730,000 26,303,000 24,240,000 22,152,000 22,872,000 23,710,000 17,479,000 16,762,000 16,847,000 17,803,000 
        total current assets
      1,112,097,000 1,025,281,000 1,020,464,000 1,080,890,000 1,092,292,000 1,019,777,000 1,404,197,000 1,365,087,000 1,440,340,000 1,257,646,000 1,276,087,000 1,304,484,000 1,313,733,000 1,271,313,000 1,217,246,000 1,221,048,000 1,250,851,000 1,139,439,000 1,779,341,000 1,868,170,000 1,835,314,000 1,594,000,000 1,624,134,000 1,363,329,000 998,030,000 1,212,992,000 1,050,293,000 1,028,065,000 1,052,885,000 992,524,000 1,023,295,000 1,019,342,000 1,041,341,000 920,826,000 871,246,000 844,214,000 805,735,000 825,027,000 844,023,000 701,531,000 754,320,000 568,051,000 517,125,000 534,499,000 492,011,000 501,105,000 490,160,000 493,331,000 496,356,000 529,033,000 483,410,000 463,482,000 492,600,000 515,286,000 429,326,000 418,493,000 539,452,000 507,850,000 474,713,000 678,263,000 335,958,000 355,268,000 331,327,000 345,237,000 332,998,000 360,697,000 
        operating lease right-of-use assets
      1,042,220,000 957,904,000 939,083,000 938,624,000 909,180,000 908,095,000 1,321,045,000 1,252,839,000 1,176,713,000 1,188,616,000 1,180,907,000 1,182,839,000 1,186,534,000 1,169,740,000 1,129,872,000 1,136,678,000 1,102,710,000 1,078,754,000 1,069,953,000 1,053,331,000 1,053,880,000 1,032,217,000 1,005,689,000 1,022,721,000 1,014,969,000 1,003,986,000 986,519,000 971,385,000 982,616,000                                      
        property and equipment
      997,409,000 992,314,000 903,242,000 921,741,000 894,920,000 872,185,000 1,040,383,000 1,030,587,000 1,024,626,000 1,023,561,000 1,006,842,000 1,004,430,000 987,283,000 1,001,440,000 957,353,000 955,752,000 952,926,000 961,467,000 936,695,000 928,226,000 930,843,000 943,420,000 927,975,000 959,086,000 978,547,000 998,406,000 997,467,000 1,008,555,000 972,807,000 979,810,000 965,390,000 965,844,000 973,483,000 912,591,000 911,532,000 897,146,000 863,485,000 889,171,000 872,543,000 800,430,000 771,410,000 553,870,000 526,349,000 520,194,000 499,531,000 498,808,000 499,767,000 494,625,000 492,781,000 491,773,000 510,028,000 505,894,000 514,922,000 526,905,000 532,100,000 538,026,000 459,567,000 462,035,000 466,131,000 458,897,000 479,833,000 460,227,000 383,199,000 356,336,000 330,106,000 301,366,000 
        goodwill
      2,378,179,000 2,360,902,000 2,333,143,000 2,331,898,000 2,331,898,000 2,331,898,000 3,555,022,000 3,525,474,000 3,517,071,000 3,513,170,000 3,504,654,000 3,486,050,000 3,484,594,000 3,484,200,000 3,479,374,000 3,476,213,000 3,465,456,000 3,448,912,000 3,399,794,000 3,391,040,000 3,390,325,000 3,379,014,000 3,369,009,000 3,391,196,000 3,391,078,000 3,391,955,000 3,382,656,000 3,385,394,000 3,323,749,000 3,320,726,000 3,311,459,000 3,314,606,000 3,318,611,000 2,782,812,000 2,766,296,000 2,759,764,000 2,674,623,000 2,638,286,000 2,675,522,000 2,367,228,000 2,353,975,000 1,652,005,000 1,642,869,000 1,642,857,000 1,641,836,000 1,641,796,000 1,640,534,000 1,633,106,000 1,631,461,000 1,631,383,000 1,631,716,000 1,627,509,000 1,627,509,000 1,640,535,000 1,631,252,000 1,646,698,000 1,548,269,000 1,548,269,000 1,548,269,000 1,507,223,000 1,475,530,000 1,468,086,000 1,323,572,000 1,323,572,000 1,319,018,000 1,319,011,000 
        identifiable intangible assets
      99,864,000 100,800,000 101,425,000 101,925,000 102,544,000 103,183,000 312,565,000 316,930,000 324,125,000 329,916,000 336,639,000 346,733,000 346,606,000 351,662,000 358,411,000 366,222,000 368,850,000 374,879,000 378,433,000 380,302,000 384,322,000 387,541,000 392,506,000 398,266,000 405,374,000 409,068,000 415,763,000 419,335,000 426,428,000 437,693,000 444,847,000 451,932,000 424,647,000 326,519,000 335,704,000 337,076,000                               
        other assets
      412,314,000 414,388,000 388,366,000 367,172,000 365,169,000 372,813,000 369,449,000 384,385,000 375,388,000 376,722,000 378,879,000 358,937,000 353,992,000 341,738,000 412,720,000 395,745,000 395,151,000 356,720,000 335,257,000 335,310,000 326,097,000 319,207,000 340,564,000 333,860,000 327,569,000 323,881,000 322,058,000 294,206,000 263,007,000 233,512,000 235,190,000 213,076,000 210,561,000 184,418,000 169,433,000 164,737,000 163,342,000 141,937,000 137,707,000 186,576,000 199,988,000 140,485,000 145,405,000 146,196,000 137,215,000 131,633,000 103,888,000 86,221,000 84,514,000 79,779,000 72,128,000 70,435,000 68,873,000 36,649,000 37,947,000 38,330,000 38,025,000 34,826,000 36,481,000 41,544,000 67,940,000 77,022,000 71,727,000 73,294,000 67,483,000 75,722,000 
        total assets
      6,042,083,000 5,851,589,000 5,685,723,000 5,742,250,000 5,696,003,000 5,607,951,000 8,002,661,000 7,875,302,000 7,858,263,000 7,689,631,000 7,684,008,000 7,701,869,000 7,699,736,000 7,665,293,000 7,554,976,000 7,551,658,000 7,535,944,000 7,360,171,000 7,899,473,000 7,956,379,000 7,920,781,000 7,655,399,000 7,659,877,000 7,468,458,000 7,115,567,000 7,340,288,000 7,154,756,000 7,106,940,000 7,021,492,000 5,964,265,000 5,980,181,000 5,964,800,000 5,968,643,000 5,127,166,000 5,054,211,000 5,002,937,000 4,845,405,000 4,838,349,000 4,847,969,000 4,314,405,000 4,341,335,000 2,987,051,000 2,903,771,000 2,915,726,000 2,842,424,000 2,845,055,000 2,808,836,000 2,781,808,000 2,779,637,000 2,806,578,000 2,772,147,000 2,751,110,000 2,788,022,000 2,803,819,000 2,722,086,000 2,720,608,000 2,660,123,000 2,628,970,000 2,602,233,000 2,764,742,000 2,458,240,000 2,457,840,000 2,192,191,000 2,182,524,000 2,131,061,000 2,140,205,000 
        liabilities and equity
                                                                        
        current liabilities:
                                                                        
        overdrafts
      19,394,000 16,751,000  16,506,000 20,683,000 25,803,000 14,173,000 23,625,000 28,534,000 30,274,000 29,994,000 31,494,000 31,237,000 31,961,000 33,262,000 31,298,000 34,745,000 42,353,000          27,259,000 31,133,000 25,083,000 23,291,000 23,292,000 21,547,000 29,463,000                                 
        current operating lease liabilities
      179,449,000 188,405,000 184,215,000 182,150,000 181,605,000 179,601,000 249,832,000 247,920,000 245,617,000 245,400,000 242,594,000 241,517,000 239,713,000 236,784,000 234,595,000 233,917,000 234,420,000 229,334,000 226,419,000 224,868,000 223,648,000 220,413,000 215,235,000 216,689,000 212,884,000 207,950,000 204,936,000 202,484,000 205,145,000                                      
        current portion of long-term debt and notes payable
      25,185,000 24,217,000 28,778,000 20,326,000 28,353,000 20,269,000 42,785,000 46,431,000 60,184,000 70,329,000 35,085,000 57,205,000 113,894,000 44,351,000 43,429,000 44,009,000 24,513,000 17,572,000 18,059,000 11,608,000 15,426,000 12,621,000 11,031,000 13,435,000 17,161,000 25,167,000 15,656,000 9,012,000 12,329,000 43,865,000 24,175,000 24,479,000 22,499,000 22,187,000 26,577,000 22,013,000 12,690,000 10,511,000 8,296,000 17,666,000 17,448,000 11,060,000 14,778,000 15,435,000 13,966,000 13,230,000 17,877,000 11,084,000 11,785,000 14,451,000 10,848,000 10,268,000 13,740,000 150,323,000 149,379,000 149,116,000 102,410,000 55,784,000 4,145,000 141,667,000 7,616,000 8,239,000 7,184,000 6,209,000 6,309,000 6,350,000 
        accounts payable
      166,467,000 157,063,000 167,102,000 163,265,000 158,542,000 142,157,000 170,711,000 160,129,000 163,551,000 174,312,000 183,086,000 186,787,000 174,101,000 186,729,000 207,413,000 231,472,000 238,150,000 233,844,000 192,393,000 187,736,000 189,170,000 177,087,000 160,474,000 142,946,000 131,601,000 145,731,000 136,801,000 138,015,000 140,581,000 146,693,000 137,540,000 131,830,000 138,436,000 128,194,000 123,631,000 125,118,000 114,181,000 118,420,000 122,279,000 118,617,000 105,369,000 101,013,000 98,638,000 93,022,000 96,360,000 86,914,000 93,704,000 91,520,000 90,132,000 94,058,000 95,618,000 88,942,000 83,109,000 86,642,000 74,193,000 76,447,000 64,634,000 71,628,000 73,434,000 64,103,000 81,488,000 78,102,000 76,478,000 72,597,000 64,973,000 61,895,000 
        accrued and other liabilities
      579,870,000 598,058,000 559,483,000 556,743,000 555,616,000 609,821,000 768,203,000 778,894,000 686,491,000                                                          
        total current liabilities
      970,365,000 984,494,000 939,578,000 938,990,000 944,799,000 977,651,000 1,245,704,000 1,256,999,000 1,184,377,000 1,248,465,000 1,166,056,000 1,188,212,000 1,185,706,000 1,155,151,000 1,196,744,000 1,241,739,000 1,189,151,000 1,273,077,000 1,326,373,000 1,409,028,000 1,540,252,000 1,438,366,000 1,345,486,000 1,255,969,000 843,954,000 914,280,000 869,787,000 852,692,000 884,937,000 705,186,000 685,109,000 627,311,000 625,731,000 605,403,000 568,885,000 538,499,000 550,348,000 535,360,000 515,205,000 522,489,000 488,379,000 392,963,000 355,861,000 382,095,000 385,290,000 365,677,000 391,112,000 373,921,000 389,015,000 380,969,000 383,938,000 353,488,000 378,685,000 498,190,000 499,558,000 473,141,000 399,382,000 348,273,000 303,941,000 446,901,000 353,479,000 359,253,000 297,955,000 317,333,000 296,246,000 316,411,000 
        non-current operating lease liabilities
      931,195,000 835,362,000 818,586,000 818,128,000 787,861,000 787,124,000 1,163,406,000 1,091,784,000 1,015,160,000 1,025,867,000 1,019,185,000 1,021,314,000 1,024,676,000 1,008,394,000 967,758,000 974,657,000 938,423,000 916,540,000 909,950,000 893,478,000 894,526,000 875,367,000 852,555,000 866,097,000 860,796,000 852,897,000 836,205,000 813,903,000 820,007,000                                      
        long-term debt
      1,835,523,000 1,803,979,000 1,743,371,000 1,839,631,000 1,767,409,000 1,691,546,000 3,098,957,000 3,593,660,000 3,758,631,000 3,587,675,000 3,695,244,000 3,695,341,000 3,766,838,000 3,835,211,000 3,750,411,000 3,723,734,000 3,738,299,000 3,556,385,000 3,384,164,000 3,386,214,000 3,387,249,000 3,389,398,000 3,390,945,000 3,390,417,000 3,553,056,000 3,419,943,000 3,336,506,000 3,349,702,000 3,299,103,000 3,249,516,000 3,305,533,000 3,386,209,000 3,478,021,000 2,677,715,000 2,734,132,000 2,771,410,000 2,642,115,000 2,707,311,000 2,773,450,000 2,333,078,000 2,431,319,000 1,569,627,000 1,598,754,000 1,596,765,000 1,474,915,000 1,517,728,000 1,474,260,000 1,330,549,000 1,342,134,000 1,399,039,000 1,385,950,000 1,397,418,000 1,413,128,000 1,324,393,000 1,281,390,000 1,276,816,000 1,305,069,000 1,353,420,000 1,401,426,000 1,521,394,000 1,728,033,000 1,709,546,000 1,530,072,000 1,532,294,000 1,538,516,000 1,534,643,000 
        non-current deferred tax liability
      117,862,000 112,157,000 88,311,000 72,946,000 75,245,000 81,497,000 95,557,000 97,647,000 133,987,000 143,306,000 146,919,000 155,925,000 163,024,000 169,793,000 162,156,000 157,892,000 156,407,000 142,792,000 120,274,000 123,559,000 133,408,000 132,421,000 131,423,000 144,697,000 158,782,000 148,258,000 147,567,000 147,716,000 153,863,000 153,895,000 148,227,000 150,694,000 125,020,000 124,917,000 197,411,000 195,729,000 210,000,000 201,538,000 213,923,000 182,963,000 167,908,000 106,702,000 95,981,000 96,502,000 90,859,000 89,676,000 90,446,000 84,118,000 82,911,000 85,029,000 82,028,000 68,399,000 64,210,000 63,653,000 59,074,000 66,269,000 66,604,000 68,187,000 66,768,000 54,733,000 24,675,000 27,787,000 25,183,000 32,075,000 23,869,000 25,570,000 
        other non-current liabilities
      81,197,000 79,858,000 76,021,000 73,293,000 74,652,000 73,038,000 98,593,000 98,682,000 100,175,000 110,303,000 106,216,000 105,123,000 106,652,000 106,137,000 109,848,000 107,738,000 105,098,000 106,442,000 167,770,000 172,656,000 168,798,000 168,703,000 178,967,000 142,861,000 103,783,000 101,334,000 105,251,000 102,555,000 105,791,000 158,940,000 174,170,000 172,427,000 167,120,000 145,709,000 141,279,000 142,208,000 136,527,000 131,699,000 136,046,000 145,277,000 142,383,000 98,245,000 96,335,000 95,090,000 80,077,000 70,647,000 69,206,000 70,502,000 68,649,000 69,459,000 64,905,000 73,219,000 71,155,000 69,526,000 66,650,000 67,266,000 61,712,000 61,043,000 60,543,000 60,648,000 22,857,000 24,648,000 23,410,000    
        total liabilities
      3,936,142,000 3,815,850,000 3,665,867,000 3,742,988,000 3,649,966,000 3,610,856,000 5,702,217,000 6,138,772,000 6,192,330,000 6,115,616,000 6,133,620,000 6,165,915,000 6,246,896,000 6,274,686,000 6,186,917,000 6,205,760,000 6,127,378,000 5,995,236,000 5,908,531,000 5,984,935,000 6,124,233,000 6,004,255,000 5,899,376,000 5,800,041,000 5,520,371,000 5,436,712,000 5,295,316,000 5,266,568,000 5,263,701,000 4,267,537,000 4,313,039,000 4,336,641,000 4,395,892,000 3,553,744,000 3,641,707,000 3,647,846,000 3,538,990,000 3,575,908,000 3,638,624,000 3,183,807,000 3,229,989,000 2,167,537,000 2,146,931,000 2,170,452,000 2,031,141,000 2,043,728,000 2,025,024,000 1,859,090,000 1,882,709,000 1,934,496,000 1,916,821,000 1,892,524,000 1,927,178,000 1,955,762,000 1,906,672,000 1,883,492,000 1,832,767,000 1,830,923,000 1,832,678,000 2,083,676,000 2,129,044,000 2,121,234,000 1,876,620,000 1,881,702,000 1,858,631,000 1,876,624,000 
        commitments and contingencies
                                                                        
        redeemable non-controlling interests
      20,967,000 18,808,000 8,651,000 8,493,000 9,021,000 10,167,000 30,455,000 29,565,000 28,290,000 26,297,000 26,999,000 34,375,000 34,399,000 34,043,000 33,540,000 42,197,000 41,670,000 39,033,000 627,330,000 521,552,000 445,931,000 398,171,000 541,856,000 495,987,000 620,377,000 974,541,000 953,697,000 844,422,000 833,241,000 780,488,000 779,574,000 616,232,000 607,474,000 640,818,000 468,850,000 462,680,000 246,429,000 245,784,000 239,627,000 257,122,000 257,187,000 11,275,000 11,238,000 11,276,000 11,623,000 12,520,000 11,115,000                    
        stockholders’ equity:
                                                                        
        common stock, 0.001 par value...
      124,000 124,000 124,000 123,000 128,000 129,000 130,000 130,000 128,000 128,000 128,000 127,000 127,000 127,000 127,000 126,000 132,000 134,000 134,000 135,000 135,000 135,000 135,000 134,000 134,000 134,000 134,000                    140,000                 205,000 205,000 206,000 
        capital in excess of par
      889,055,000 874,848,000 870,575,000 867,347,000 908,868,000 911,080,000 858,741,000 519,280,000 505,403,000 493,413,000 482,290,000 473,942,000 462,185,000 452,183,000 444,843,000 441,769,000 489,794,000 504,314,000 501,710,000 516,172,000 514,336,000 509,128,000 500,972,000 496,785,000 491,824,000 491,038,000 485,415,000 492,569,000 488,303,000 482,556,000 477,822,000 474,812,000 468,885,000 463,499,000 454,892,000 450,373,000 440,316,000 432,951,000 428,294,000 419,477,000 422,524,000 418,288,000 410,721,000 415,875,000 472,080,000 470,809,000 469,021,000 471,358,000 469,410,000 479,547,000 493,828,000 518,295,000 535,421,000 535,239,000 535,628,000 565,342,000 579,719,000 579,266,000 578,648,000 544,772,000 -292,186,000 -293,157,000 -294,131,000 -295,256,000 -296,202,000 -297,137,000 
        retained earnings
      872,222,000 837,016,000 824,813,000 804,728,000 813,504,000 770,146,000 1,056,320,000 891,397,000 830,821,000 751,856,000 722,665,000 696,922,000 635,483,000 581,010,000 570,069,000 565,556,000 596,079,000 593,251,000 639,451,000 713,191,000 625,381,000 553,244,000 537,479,000 495,964,000 316,680,000 279,800,000 269,169,000 353,305,000 313,593,000 320,351,000 296,635,000 420,525,000 383,581,000 359,735,000 393,294,000 351,224,000 528,593,000 522,995,000 489,518,000 405,689,000 383,278,000 347,303,000 300,481,000 285,397,000 296,196,000 287,350,000 273,912,000 418,071,000 393,961,000 359,990,000 328,882,000 307,648,000 292,360,000 281,094,000 248,097,000 240,627,000 217,782,000 193,320,000 169,094,000 139,183,000 130,077,000 139,223,000 130,805,000 121,024,000 99,971,000 93,168,000 
        accumulated other comprehensive loss
      -5,380,000 -6,404,000 -6,242,000 -5,157,000 -3,106,000                 -2,027,000                                  -414,000 -1,898,000 -4,926,000 -8,914,000 -10,680,000       
        total stockholders’ equity
      1,756,021,000 1,705,584,000 1,689,270,000 1,667,041,000 1,719,394,000 1,681,355,000 1,915,191,000 1,416,589,000 1,367,282,000 1,288,304,000 1,267,810,000 1,246,038,000 1,170,449,000 1,121,922,000 1,105,595,000 1,071,413,000 1,138,140,000 1,109,981,000 1,145,498,000 1,234,225,000 1,145,976,000 1,060,480,000 1,038,586,000 992,883,000 808,638,000 770,972,000 754,718,000                    743,073,000              -160,782,000 -146,311,000 -159,665,000 -169,139,000 -191,431,000 -194,787,000 
        non-controlling interests
      328,953,000 311,347,000 321,935,000 323,728,000 317,622,000 305,573,000 354,798,000 290,376,000 270,361,000 259,414,000 255,579,000 255,541,000 247,992,000 234,642,000 228,924,000 232,288,000 228,756,000 215,921,000 218,114,000 215,667,000 204,641,000 192,493,000 180,059,000 179,547,000 166,181,000 158,063,000 151,025,000 149,941,000 122,519,000 113,198,000 112,976,000 116,456,000 112,677,000 109,236,000             29,624,000         31,400,000   30,567,000        
        total equity
      2,084,974,000 2,016,931,000 2,011,205,000 1,990,769,000 2,037,016,000 1,986,928,000 2,269,989,000 1,706,965,000 1,637,643,000 1,547,718,000 1,523,389,000 1,501,579,000 1,418,441,000 1,356,564,000 1,334,519,000 1,303,701,000 1,366,896,000 1,325,902,000 1,363,612,000 1,449,892,000 1,350,617,000 1,252,973,000 1,218,645,000 1,172,430,000 974,819,000 929,035,000 905,743,000 995,950,000 924,550,000 916,240,000 887,568,000 1,011,927,000 965,277,000 932,604,000 943,654,000 892,411,000 1,059,986,000 1,016,657,000 969,718,000 873,476,000 854,159,000 808,239,000 745,602,000 733,998,000 799,660,000 788,807,000 772,697,000 922,718,000 896,928,000 872,082,000 855,326,000 858,586,000 860,844,000 848,057,000 815,414,000 837,116,000 827,356,000 798,047,000 769,555,000 681,066,000       
        total liabilities and equity
      6,042,083,000 5,851,589,000 5,685,723,000 5,742,250,000 5,696,003,000 5,607,951,000 8,002,661,000 7,875,302,000 7,858,263,000 7,689,631,000 7,684,008,000 7,701,869,000 7,699,736,000 7,665,293,000 7,554,976,000 7,551,658,000 7,535,944,000 7,360,171,000 7,899,473,000 7,956,379,000 7,920,781,000 7,655,399,000 7,659,877,000 7,468,458,000 7,115,567,000 7,340,288,000 7,154,756,000 7,106,940,000 7,021,492,000 5,964,265,000 5,980,181,000 5,964,800,000 5,968,643,000 5,127,166,000 5,054,211,000 5,002,937,000 4,845,405,000 4,838,349,000 4,847,969,000 4,314,405,000 4,341,335,000 2,987,051,000 2,903,771,000 2,915,726,000 2,842,424,000 2,845,055,000 2,808,836,000 2,781,808,000 2,779,637,000 2,806,578,000 2,772,147,000 2,751,110,000 2,788,022,000 2,803,819,000 2,722,086,000 2,720,608,000 2,660,123,000 2,628,970,000 2,602,233,000 2,764,742,000       
        current portion of interest rate cap contract
             22,426,000 42,660,000 58,962,000 85,896,000 83,938,000 72,127,000 74,857,000                                                     
        current assets of discontinued operations
                                                                        
        non-current assets of discontinued operations
                                                                        
        current liabilities of discontinued operations
                                                                        
        non-current liabilities of discontinued operations
                                                                        
        accumulated other comprehensive income
             5,782,000 30,930,000 42,907,000 62,727,000 75,047,000 72,654,000 88,602,000 90,556,000 63,962,000 52,135,000 12,282,000 4,203,000 4,727,000 6,124,000                                        1,122,000 7,418,000 3,456,000 4,888,000 4,595,000 8,976,000 
        interest rate cap contract, net of current portion
                 18,396,000 26,994,000 45,200,000                                                     
        accrued payroll
               238,768,000 210,088,000 191,061,000 171,815,000 209,789,000 252,041,000 257,612,000 242,749,000 247,292,000 295,897,000 246,960,000 228,839,000 224,876,000 182,461,000 125,109,000 140,009,000 183,754,000 170,294,000 147,397,000 142,289,000 172,386,000 176,221,000 149,967,000 135,561,000 160,562,000 119,187,000 110,196,000 138,090,000 135,552,000 128,553,000 132,872,000 122,707,000 80,382,000 74,736,000 73,081,000 81,303,000 76,289,000 74,706,000 83,683,000 73,712,000 70,634,000 82,888,000 70,917,000 75,453,000 75,357,000 63,760,000 72,450,000 58,269,000 62,285,000 62,035,000 64,991,000 67,068,000 64,653,000 52,432,000 55,084,000 54,515,000 52,454,000 
        accrued vacation
               157,748,000 154,655,000 159,168,000 156,433,000 150,695,000 147,763,000 152,281,000 148,114,000 144,048,000 140,363,000 146,790,000 140,622,000 132,811,000 124,898,000 124,624,000 128,705,000 124,111,000 119,286,000 122,277,000 116,675,000 110,660,000 106,026,000 109,958,000 105,325,000 92,875,000 92,250,000 88,736,000 78,776,000 81,074,000 79,783,000 72,475,000 76,262,000 65,929,000 64,127,000 62,180,000 57,328,000 60,304,000 58,552,000 53,210,000 56,208,000 54,701,000 51,250,000 48,243,000 50,501,000 49,057,000 46,588,000 46,152,000 43,692,000 42,582,000 41,013,000 38,082,000 33,398,000 35,203,000 28,583,000 27,360,000 27,039,000 29,004,000 
        accrued interest
               32,472,000 12,044,000 29,514,000 10,241,000 29,837,000 10,347,000 29,339,000 9,932,000 29,002,000 9,894,000 28,938,000 10,072,000 29,240,000 10,152,000 29,610,000 11,339,000 33,853,000 10,112,000 10,234,000 22,593,000 12,137,000 23,648,000 13,293,000 28,588,000 19,885,000 19,277,000 21,558,000 32,964,000 16,927,000 23,453,000 25,300,000 14,152,000 21,805,000 10,985,000 16,765,000 22,005,000 9,057,000 16,063,000 13,921,000 26,945,000 5,942,000 15,096,000 5,590,000 18,623,000 12,889,000 30,937,000 13,191,000 31,947,000 14,759,000 32,919,000 15,293,000 16,072,000 36,908,000 15,455,000 36,759,000 16,007,000 36,694,000 
        accrued other
               297,663,000 297,931,000 283,257,000 274,654,000 264,525,000 265,451,000 242,980,000 232,297,000 244,312,000 250,176,000 256,095,000 253,141,000 228,948,000 239,201,000 204,074,000 194,165,000 191,076,000 209,887,000 184,247,000 205,535,000 190,691,000 188,079,000 170,067,000 163,141,000 143,166,000 146,853,000 143,180,000 142,431,000 134,085,000 149,993,000 131,460,000 122,801,000 87,073,000 81,424,000 82,300,000 102,925,000 94,127,000 97,833,000 99,004,000 99,583,000 95,652,000 101,076,000 105,053,000 105,564,000 96,732,000 103,856,000 95,538,000 78,505,000 75,547,000 84,234,000 115,846,000 71,150,000 70,329,000 70,027,000 67,084,000 65,140,000 63,535,000 
        income taxes payable
               1,499,000 579,000 8,209,000 13,618,000 480,000 1,265,000 11,774,000 3,175,000 1,437,000 31,253,000 50,662,000 52,545,000 7,956,000 16,980,000 36,985,000 8,090,000 2,638,000 2,815,000 11,767,000 8,657,000 3,671,000 6,129,000 4,425,000 10,634,000 9,071,000 6,976,000 5,399,000  12,314,000 2,848,000  2,303,000 6,776,000  19,645,000   17,195,000   16,095,000    6,698,000    2,649,000    3,431,000  1,937,000 22,346,000 33,589,000 
        government advances
                    942,000 6,471,000 20,862,000 83,790,000 159,505,000 251,272,000 324,975,000 321,807,000 318,116,000 316,992,000                                           
        unearned government assistance
                    236,000 586,000 194,000 93,000 2,414,000 4,099,000 101,814,000 82,607,000 66,938,000 45,505,000                                           
        common stock of holdings, 0.001 par value...
                                 135,000 135,000 135,000 135,000 134,000 134,000 134,000 133,000 132,000 132,000 131,000 131,000 131,000 131,000 131,000 130,000 131,000 140,000 140,000  140,000 140,000 142,000 145,000 150,000 154,000  155,000 161,000 160,000 160,000 160,000 156,000 205,000 205,000 205,000    
        common stock of select, 0.01 par value...
                                                                        
        total select medical holdings corporation and select medical corporation stockholders’ equity
                                 846,009,000 802,031,000 803,042,000 774,592,000 895,471,000 852,600,000 823,368,000 848,319,000 801,729,000 969,041,000 956,077,000 917,943,000 825,297,000 805,933,000 765,722,000 711,332,000 701,403,000 768,416,000 758,299,000  889,569,000 863,511,000 839,679,000 822,855,000 826,093,000 827,935,000  783,880,000 805,716,000 795,763,000 767,820,000 738,988,000 673,431,000       
        bank overdrafts
                                        34,134,000 22,299,000 20,151,000 26,477,000  24,099,000 27,337,000 18,925,000 9,192,000 18,476,000 7,435,000 19,461,000 12,207,000 13,598,000 20,348,000 19,100,000 16,609,000 14,618,000 20,894,000 9,374,000 18,792,000 10,971,000 14,201,000 17,314,000   18,911,000 19,023,000 15,205,000 12,213,000 7,531,000  
        non-controlling interest
                                        95,335,000 90,682,000 90,945,000 60,580,000 51,775,000 48,179,000 48,226,000 42,517,000 34,270,000 32,595,000 31,244,000 30,508,000  33,149,000 33,417,000 32,403,000 32,471,000 32,493,000 32,909,000 31,570,000 31,534,000  31,593,000 30,227,000  7,635,000       
        current deferred tax asset
                                          50,647,000 43,955,000 45,817,000 23,346,000 17,355,000 15,961,000 16,042,000 17,781,000 15,372,000 14,850,000 18,811,000 17,978,000 15,533,000 19,894,000 18,305,000 19,834,000 15,635,000 29,644,000 30,654,000 38,949,000 40,808,000 47,377,000 48,535,000 51,426,000 38,760,000 40,837,000 41,804,000 42,613,000 57,892,000 57,182,000 
        other identifiable intangibles
                                          338,220,000 343,928,000 318,174,000 258,640,000 261,642,000 72,640,000 72,023,000 71,980,000 71,831,000 71,713,000 71,745,000 71,783,000 71,783,000 71,868,000 72,123,000 72,448,000 72,776,000 73,102,000 80,119,000 67,719,000 63,468,000 64,648,000 65,297,000 67,473,000 95,532,000 97,237,000 77,541,000 79,230,000 81,456,000 83,409,000 
        due to third party payors
                                          11,065,000      1,981,000 1,191,000 3,968,000 6,295,000 2,975,000 5,886,000 7,264,000 6,011,000 5,526,000 4,249,000 4,835,000 4,825,000 5,299,000 6,445,000 2,492,000 1,962,000 1,905,000 2,179,000 10,791,000 6,267,000 6,924,000 12,886,000 9,006,000 9,562,000 
        of 61,133 and 56,664 at 2015 and 2016, respectively
                                           613,790,000                             
        assets held for sale
                                                    2,742,000 2,742,000 2,742,000 2,742,000 2,742,000 11,342,000 11,342,000 11,342,000 11,342,000 11,342,000 11,342,000 11,342,000 11,342,000 11,342,000       
        accrued restructuring
                                                     2,015,000 3,038,000 4,325,000 5,027,000 5,608,000 5,966,000 6,293,000 6,754,000 2,831,000 3,232,000 3,763,000 4,256,000 4,740,000 20,713,000 11,742,000 208,000 225,000 252,000 280,000 
        common stock of select, 0.01par value, 100 shares issued and outstanding
                                                                        
        common stock of holdings, 0.001par value, 700,000,000 shares authorized, 154,519,025 shares and 154,273,150 shares issued and outstanding in 2010 and 2011, respectively
                                                           154,000             
        total select medical holdings corporation and select medical
                                                                        
        corporation stockholders’ equity
                                                           816,487,000             
        preferred stock — authorized shares
                                                                  485,081,000 479,044,000 473,145,000 467,395,000   
        restricted cash
                                                                  886,000 3,800,000 4,389,000 4,335,000 5,247,000 5,548,000 
        other assets held for sale
                                                                  3,447,000  4,825,000 4,855,000   
        liabilities and stockholders’ equity
                                                                        
        accrued professional liability
                                                                  26,272,000 25,356,000 25,459,000 24,979,000 23,128,000 23,048,000 
        minority interest in consolidated subsidiary companies
                                                                  4,897,000 3,873,000 2,091,000 2,566,000 2,285,000 2,507,000 
        total liabilities and stockholders’ equity
                                                                  2,458,240,000 2,457,840,000 2,192,191,000 2,182,524,000 2,131,061,000 2,140,205,000 
        current assets held for sale
                                                                        
        current liabilities held for sale
                                                                        
        non-current liabilities held for sale
                                                                        
        preferred stock
                                                                      461,576,000 455,861,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 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 2011-12-31 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 2006-09-30 2006-06-30 
                                                                      
          operating activities
                                                                      
          net income
        63,775,000 37,742,000 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 37,337,000 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 68,004,000 55,460,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                      
          distributions from unconsolidated subsidiaries
        14,043,000 10,155,000 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
        37,666,000 36,205,000 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 18,751,000 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 35,131,000 22,737,000 
          provision for expected credit losses
        1,098,000 301,000 506,000 -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
        -12,011,000 -15,399,000 -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 sale or disposal of assets
        48,000    -23,000    44,000       -1,453,000 -23,000                                              
          stock compensation expense
        4,638,000 4,523,000 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 and issuance costs
        778,000                                          1,919,000 2,284,000 2,304,000                  
          deferred income taxes
        6,336,000 20,105,000 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
        -86,370,000 -38,698,000 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                 -29,660,000 -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 -10,811,000 -25,530,000 
          other current assets
        -10,563,000 7,911,000 -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            -1,441,000 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 2,494,000 1,538,000 
          other assets
        5,092,000 -13,864,000 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        2,028,000 348,000 -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 3,591,000 2,791,000 
          accounts payable
        21,196,000 -18,626,000 -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    6,621,000 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 4,300,000 1,222,000 
          accrued expenses
        -7,866,000 33,132,000 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   17,454,000 -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 -9,991,000 -11,747,000 
          net cash from operating activities
        37,860,000 64,325,000 175,307,000 110,292,000 -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 73,214,000 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 -7,485,000 105,166,000 82,774,000 
          capital expenditures
        -58,898,000 -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       -13,922,000 -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 -112,132,000 -71,814,000 
          free cash flows
        -21,038,000 64,325,000 122,205,000 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 59,292,000 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 -6,966,000 10,960,000 
          investing activities
                                                                      
          business combinations, net of cash acquired
        31,000 -7,596,000    -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
        -58,898,000  -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                 -13,922,000 -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 -112,132,000 -71,814,000 
          proceeds from sales of assets and business
        2,212,000                                                              
          net cash from investing activities
        -56,655,000 -66,892,000 -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                 -18,927,000 -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 -37,589,000 2,429,000 
          financing activities
                                                                      
          borrowings on revolving facilities
        250,000,000 320,000,000 200,000,000 365,000,000 405,000,000 290,000,000 235,000,000 220,000,000 495,000,000 270,000,000 200,000,000 210,000,000 225,000,000 275,000,000 280,000,000 285,000,000 280,000,000     10,000,000 460,000,000 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
        -225,000,000 -370,000,000 -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     -175,000,000 -295,000,000 -260,000,000 -240,000,000 -220,000,000 -585,000,000 -195,000,000 -150,000,000                               
          payments on term loans
        -2,625,000 -2,625,000 -2,625,000 -2,625,000 -2,625,000 -372,982,000 -1,640,418,000 -79,085,000 -5,258,000            -39,843,000 -1,243,086,000 -242,399,000 -132,685,000 -8,625,000 -2,875,000 -2,875,000                               
          borrowings of other debt
        19,369,000 59,696,000 20,169,000 5,338,000 16,015,000 4,086,000 3,078,000 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 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 6,111,000 2,329,000 1,083,000 5,826,000 5,835,000 1,559,000 5,496,000 1,332,000 5,015,000 2,005,000      
          principal payments on other debt
        -9,903,000 -8,363,000 -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
        -7,751,000 -7,751,000 -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                                                          
          increase in overdrafts
        2,643,000                           -3,874,000 6,050,000                                  
          proceeds from issuance of non-controlling interests
        5,948,000 2,940,000 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 7,000 1,679,000 159,000 14,863,000 3,425,000 2,926,000   1,459,000 2,094,000                             
          distributions to and purchases of non-controlling interests
        -14,726,000 -41,070,000 -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                                  
          net cash from financing activities
        17,955,000 -30,964,000 -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    -52,457,000 -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 -98,433,000 -108,959,000 
          net decrease in cash and cash equivalents
        -840,000                        -262,719,000    -27,363,000   -2,866,000                        -10,507,000  -15,507,000 -11,926,000 -44,064,000 -30,821,000 -23,721,000 
          cash and cash equivalents at beginning of period
        26,523,000 59,694,000 84,006,000 97,906,000 74,310,000 577,061,000 335,882,000 175,178,000 122,549,000 122,549,000 99,029,000 14,435,000 3,354,000 4,319,000 40,144,000 12,043,000 4,365,000 83,680,000 81,600,000 35,861,000 35,861,000 
          cash and cash equivalents at end of period
        25,683,000 -33,531,000 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 1,830,000 -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 5,040,000 12,140,000 
          supplemental information
                                                                      
          cash paid for interest
        17,554,000               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 12,856,000 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 52,001,000 114,504,000 61,886,000 
          cash paid for taxes
        3,908,000 3,904,000 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 7,895,000 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 21,840,000 2,666,000 
          loss on extinguishment of debt
             8,099,000                   11,970,000    484,000 72,000 412,000                               
          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                     
          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 -9,800,000 -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 sales and exchanges of assets and sale of business
                                                                      
          proceeds from term loans, net of issuance costs
             1,043,355,000                                                         
          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           
          decrease in overdrafts
         16,751,000 -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            -6,172,000 1,745,000 -7,916,000                               
          purchase of membership interests of concentra group holdings parent
                             -210,163,000 -366,203,000                                      
          proceeds from concentra initial public offering
                                                                     
          cash transferred to concentra at separation
                                                                      
          supplemental information:
                                                                      
          cash paid for interest, excluding amounts received of 82,818 and 68,069 under the interest rate cap contract for the years ended december 31, 2023 and 2024, respectively.
                                                                      
          non-cash investing and financing activities:
                                                                      
          liabilities for purchases of property and equipment
                                                                      
          gain on sale or disposal of assets
          -4,000    -89,000    16,000 -16,000 -7,000                                                  
          amortization of debt discount, premium, and issuance costs
          784,000 786,000 783,000  787,000 742,000 750,000                                                      
          proceeds from sales and exchange of assets
                                                                      
          proceeds from 6.875% senior notes, net of issuance costs
                                                                      
          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   1,830,000 -3,371,000   -10,978,000 -113,410,000   -196,812,000      
          cash paid for interest, excluding amounts received of 68,069 under the interest rate cap contract during the nine months ended september 30, 2024
                                                                      
          proceeds from sale of assets
           15,000 24,000      4,000 36,000 20,000  50,000 5,277,000 37,000                             16,511,000             
          cash paid for interest, excluding amounts received of 44,954 under the interest rate cap contract during the six months ended june 30, 2024
                                                                      
          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                               
          government advances
                     -942,000 -5,529,000 -14,391,000 -62,928,000 -75,715,000 -91,767,000   1,124,000                                        
          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 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                             
          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.
                                                                      
          cash paid for interest, excluding amounts received of 60,353 and 68,069 under the interest rate cap contract
                                                                      
          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
                                614,423,000    779,904,000 779,904,000 -335,000 1,139,822,000                             
          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
                                                                      
          proceeds from 6.250% senior notes
                                 705,811,000                                     
          payment on 6.375% senior notes
                                                                     
          revolving facility debt issuance costs
                                    -1,333,000 -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
                                                                      
          loss on sale or disposal of assets and businesses
                           422,000 72,000                                          
          non-cash equity exchange for acquisition of u.s. healthworks
                                     238,000,000 238,000,000                               
          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                                      
          provision for bad debts
                                 694,000 386,000 391,000 1,567,000  17,000 85,000           9,262,000 8,846,000 9,321,000 11,199,000 10,029,000 10,375,000 11,345,000 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 18,853,000 13,520,000 
          dividends paid to holdings
                                                                      
          equity investment by holdings
                                                                      
          benefit from bad debts
                                     -373,000   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                     
          gain on sale of equity investment
                                                                      
          impairment of equity investment
                                          5,339,000                          
          proceeds from sale of equity investment
                                                                      
          distributions to non-controlling interests
                                     -306,427,000 -14,572,000 -286,641,000                 -1,105,000 -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 1,418,000 259,000 
          acquisition of businesses, net of cash acquired
                                                        -2,820,000 3,921,000 -2,000,000    -21,000,000 125,000 -214,018,000 -81,000 -3,261,000 -3,261,000 
          repayments of bank overdrafts
                                                                      
          loss on early retirement of debt
                                         6,527,000 10,853,000 773,000    2,277,000 17,280,000 1,467,000                
          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 39,000 88,000 81,000   15,000 110,000       
          proceeds from issuance of non-controlling interest
                                          8,743,000                           
          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                     
          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
                                                111,650,000                     
          proceeds from concentra term loans, net of discounts
                                                                     
          debt issuance costs
                                                                    
          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
                                                                      
          net income attributable to redeemable non-controlling interests
                                                                      
          distributions to 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                     
          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 1,027,000 918,000 900,000 880,000 831,000 460,000 437,000 508,000 352,000 931,000 951,000 927,000 2,837,000 1,891,000 
          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    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 57,709,000                     
          certificates of need
                                               12,848,000 43,000 12,188,000                     
          accreditations
                                               2,083,000 2,083,000                     
          total
                                               1,724,645,000 55,000 1,714,837,000                     
          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 1,277,000 -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 -3,169,000 -2,613,000 
          investment in businesses, net of distributions
                                                                      
          borrowings on credit facility term loans, net of discount
                                                  298,500,000                  
          repurchase of senior floating rate notes
                                                                     
          repurchase of 7 5/8% senior subordinated notes
                                                                      
          proceeds from (repayment of) bank overdrafts
                                                       2,491,000 1,991,000   -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   
          adjustments to reconcile net income to net cash provided by operating activities:
                                                                      
          gain from disposal or sale of assets
                                                                      
          issuance of 6.375% senior notes
                                                                     
          repayment of bank overdrafts
                                                                     -19,355,000 
          loss from disposal or sale of assets
                                                   40,000 41,000                  
          investment in business, net of distributions
                                                                      
          amortization of debt discount
                                                     501,000 311,000 311,000 312,000 309,000 455,000 507,000 497,000 478,000 468,000 450,000 442,000 334,000 328,000 315,000   
          borrowings on revolving credit facilities
                                                     25,000,000 110,000,000 230,000,000 140,000,000 160,000,000             
          payments on revolving credit facilities
                                                        -150,000,000 -175,000,000             
          borrowings on 2011 credit facility term loans, net of discount
                                                                      
          payments on 2011 credit facility term loans
                                                        -2,125,000              
          payments on 2005 credit facility term loans, net of premium
                                                                      
          repurchase of 10% senior subordinated notes
                                                                    
          repurchase of 7 5/8% senior subordinated notes, net of premiums
                                                                      
          investment in business
                                                                     
          borrowings on 2011 credit facility term loan, net of discount
                                                                    
          payments on 2011 credit facility term loan
                                                                      
          payments on 2005 credit facility term loans, net of call premium
                                                                    
          repurchase of 7 5/8% senior subordinated notes, net of tender premium
                                                                    
          payments on 2005 credit facility term loans
                                                                      
          net increase (decrease in) cash and cash equivalents
                                                           10,703,000           
          non-cash loss from interest rate swaps
                                                                      
          proceeds from initial public offering, net of fees
                                                                33,866,000      
          payment of initial public offering costs
                                                                -1,153,000      
          repurchase of common and preferred stock
                                                                -14,000   
          equity contribution and loans from non-controlling interests
                                                                     
          loss from disposal of assets
                                                         19,000 -5,389,000 188,000 -128,000 -48,000 527,000 133,000 -672,000      
          non-cash gain from interest rate swaps
                                                             -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 -614,000 -600,000 
          proceeds from sale of business
                                                           250,000        880,000 76,806,000 76,806,000 
          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
                                                                     
          insurance proceeds
                                                                      
          payment on credit facility term loan
                                                                -168,400,000      
          repurchase of 75/8% senior subordinated notes
                                                                      
          exercise of stock options
                                                                 40,000     
          borrowings (repayment) of bank overdrafts
                                                                      
          changes in restricted cash
                                                                 2,914,000     
          credit facility term loan borrowing
                                                                     
          proceeds from issuance of restricted stock
                                                                     
          gain from disposal of assets and sale of business units
                                                                 2,074,000     
          minority interests
                                                                 237,000 813,000 323,000 1,435,000 1,066,000 
          accrued interest
                                                                 -20,829,000 21,446,000 -21,304,000 -20,021,000 667,000 
          earnout payments
                                                                    -100,000 -100,000 
          sale of building
                                                                     
          payments on credit facility term loan
                                                                 -1,700,000     
          dividends to holdings
                                                                      
          distributions to minority interests
                                                                 -486,000 -179,000 -843,000 -1,604,000 -1,104,000 
          effect of exchange rate changes on cash and cash equivalents
                                                                    35,000 35,000 
          non-cash income from interest rate swaps
                                                                      
          gain from sale of business
                                                                   -1,173,000 -13,950,000 -13,950,000 
          non-cash loss from hedge
                                                                      
          restricted cash
                                                                   -53,000 1,098,000 798,000 
          net repayments on credit facility debt
                                                                   -1,450,000 -84,350,000 -87,900,000 
          proceeds from sale of restricted stock
                                                                   200,000   
          gain on sale of business
                                                                      
          non cash compensation expense
                                                                      
          income taxes and deferred taxes
                                                                    24,177,000 34,892,000 
          proceeds from sale of business, net of cash sold
                                                                      
          proceeds from sale of membership interests
                                                                      
          proceeds from senior floating rate notes
                                                                      
          equity investment
                                                                      
          proceeds from credit facility
                                                                      
          proceeds from 7 5/8% senior subordinated notes
                                                                      
          repayment of senior subordinated notes
                                                                      
          deferred financing costs
                                                                      
          costs associated with equity investment
                                                                      
          repurchases of common stock and options
                                                                      
          payment of preferred stock dividends
                                                                      
          payment of common stock dividends
                                                                      
          amorization of debt discount
                                                                    868,000 571,000 
          issuance of senior floating rate notes
                                                                      
          proceeds from 10% senior subordinated notes
                                                                      
          payment of deferred financing costs
                                                                      
          repurchases of common stock, preferred stock and options
                                                                    -41,000  
          borrowing (repayment) of bank overdrafts
                                                                    -11,824,000  
          proceeds from senior subordinated notes