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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