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BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 1,036,285 | $ 921,345 | $ 2,046,457 | $ 1,808,186
Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 991,285 | 884,200 | 1,960,887 | 1,735,123
Service revenue |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 1,030,574 | $ 916,101 | $ 2,035,059 | $ 1,798,019
Service revenue | Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 100.00% | 100.00% | 100.00% | 100.00%
Service revenue | Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 991,285 | $ 884,200 | $ 1,960,887 | $ 1,735,123
Service revenue | All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 39,289 | 31,901 | 74,172 | 62,896
Service revenue | Total Medicaid and Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 733,598 | $ 669,877 | $ 1,452,653 | $ 1,315,791
Service revenue | Total Medicaid and Medicare | Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 71.20% | 73.10% | 71.40% | 73.20%
Service revenue | Total Medicaid and Medicare | Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 724,965 | $ 662,476 | $ 1,435,975 | $ 1,301,571
Service revenue | Total Medicaid and Medicare | All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 8,633 | 7,401 | 16,678 | 14,220
Service revenue | Medicaid |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 411,760 | $ 359,781 | $ 801,923 | $ 700,045
Service revenue | Medicaid | Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 40.00% | 39.30% | 39.40% | 38.90%
Service revenue | Medicaid | Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 403,127 | $ 352,380 | $ 785,245 | $ 685,825
Service revenue | Medicaid | All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 8,633 | 7,401 | 16,678 | 14,220
Service revenue | Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 258,869 | $ 248,081 | $ 524,452 | $ 495,804
Service revenue | Medicare | Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 25.10% | 27.10% | 25.80% | 27.60%
Service revenue | Medicare | Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 258,869 | $ 248,081 | $ 524,452 | $ 495,804
Service revenue | Medicare | All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 0 | 0 | 0 | 0
Service revenue | Medicaid-skilled |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 62,969 | $ 62,015 | $ 126,278 | $ 119,942
Service revenue | Medicaid-skilled | Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 6.10% | 6.70% | 6.20% | 6.70%
Service revenue | Medicaid-skilled | Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 62,969 | $ 62,015 | $ 126,278 | $ 119,942
Service revenue | Medicaid-skilled | All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 0 | 0 | 0 | 0
Service revenue | Managed care |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 191,022 | $ 161,101 | $ 379,126 | $ 317,764
Service revenue | Managed care | Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 18.50% | 17.60% | 18.60% | 17.70%
Service revenue | Managed care | Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 191,022 | $ 161,101 | $ 379,126 | $ 317,764
Service revenue | Managed care | All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 0 | 0 | 0 | 0
Service revenue | Private and other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 105,954 | $ 85,123 | $ 203,280 | $ 164,464
Service revenue | Private and other | Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 10.30% | 9.30% | 10.00% | 9.10%
Service revenue | Private and other | Operating Segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 75,298 | $ 60,623 | $ 145,786 | $ 115,788
Service revenue | Private and other | All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 30,656 | $ 24,500 | $ 57,494 | $ 48,676

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