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BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 3,729,355 | $ 3,025,468 | $ 2,627,461
Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 3,578,855 | $ 2,906,215 | $ 2,523,234
Total Medicaid and Medicare | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 72.60% | 73.70% | 73.60%
Service revenue |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 3,708,071 | $ 3,008,711 | $ 2,611,476
Service revenue | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 100.00% | 100.00% | 100.00%
Service revenue | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 3,578,855 | $ 2,906,215 | $ 2,523,234
Service revenue | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 129,216 | 102,496 | 88,242
Service revenue | Total Medicaid and Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 2,690,861 | $ 2,216,194 | $ 1,922,333
Service revenue | Total Medicaid and Medicare | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 72.60% | 73.70% | 73.60%
Service revenue | Total Medicaid and Medicare | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 2,660,885 | $ 2,191,347 | $ 1,906,934
Service revenue | Total Medicaid and Medicare | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 29,976 | 24,847 | 15,399
Service revenue | Medicaid |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 1,459,449 | $ 1,183,156 | $ 1,022,460
Service revenue | Medicaid | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 39.40% | 39.30% | 39.20%
Service revenue | Medicaid | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 1,429,473 | $ 1,158,309 | $ 1,007,061
Service revenue | Medicaid | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 29,976 | 24,847 | 15,399
Service revenue | Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 985,749 | $ 832,160 | $ 727,103
Service revenue | Medicare | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 26.60% | 27.70% | 27.80%
Service revenue | Medicare | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 985,749 | $ 832,160 | $ 727,103
Service revenue | Medicare | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 0 | 0 | 0
Service revenue | Medicaid-skilled |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 245,663 | $ 200,878 | $ 172,770
Service revenue | Medicaid-skilled | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 6.60% | 6.70% | 6.60%
Service revenue | Medicaid-skilled | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 245,663 | $ 200,878 | $ 172,770
Service revenue | Medicaid-skilled | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 0 | 0 | 0
Service revenue | Managed care |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 666,129 | $ 525,710 | $ 456,728
Service revenue | Managed care | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 18.00% | 17.50% | 17.50%
Service revenue | Managed care | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 666,129 | $ 525,710 | $ 456,728
Service revenue | Managed care | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 0 | 0 | 0
Service revenue | Private and other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 351,081 | $ 266,807 | $ 232,415
Service revenue | Private and other | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 9.40% | 8.80% | 8.90%
Service revenue | Private and other | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 251,841 | $ 189,158 | $ 159,572
Service revenue | Private and other | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 99,240 | $ 77,649 | $ 72,843

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