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BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 1,010,172 | $ 886,841
Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 969,602 | $ 850,923
Total Medicaid and Medicare | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 71.60% | 73.30%
Service revenue |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 1,004,485 | $ 881,918
Service revenue | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 100.00% | 100.00%
Service revenue | Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 969,602 | $ 850,923
Service revenue | All Other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | 34,883 | 30,995
Service revenue | Total Medicaid and Medicare |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 719,055 | $ 645,914
Service revenue | Total Medicaid and Medicare | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 71.60% | 73.30%
Service revenue | Total Medicaid and Medicare | Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 711,010 | $ 639,095
Service revenue | Total Medicaid and Medicare | All Other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | 8,045 | 6,819
Service revenue | Medicaid |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 390,163 | $ 340,264
Service revenue | Medicaid | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 38.80% | 38.60%
Service revenue | Medicaid | Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 382,118 | $ 333,445
Service revenue | Medicaid | All Other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | 8,045 | 6,819
Service revenue | Medicare |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 265,583 | $ 247,723
Service revenue | Medicare | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 26.40% | 28.10%
Service revenue | Medicare | Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 265,583 | $ 247,723
Service revenue | Medicare | All Other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | 0 | 0
Service revenue | Medicaid-skilled |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 63,309 | $ 57,927
Service revenue | Medicaid-skilled | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 6.40% | 6.60%
Service revenue | Medicaid-skilled | Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 63,309 | $ 57,927
Service revenue | Medicaid-skilled | All Other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | 0 | 0
Service revenue | Managed care |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 188,104 | $ 156,663
Service revenue | Managed care | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 18.70% | 17.80%
Service revenue | Managed care | Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 188,104 | $ 156,663
Service revenue | Managed care | All Other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | 0 | 0
Service revenue | Private and other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 97,326 | $ 79,341
Service revenue | Private and other | Revenue | Customer Concentration Risk |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Revenue % | 9.70% | 8.90%
Service revenue | Private and other | Skilled Services | Skilled Services |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 70,488 | $ 55,165
Service revenue | Private and other | All Other |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |
Total Service Revenue | $ 26,838 | $ 24,176

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