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BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 4,260,485 | $ 3,729,355 | $ 3,025,468
Operating Segments |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 4,171,911 | 3,661,341 | 2,979,152
Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 4,076,825 | 3,578,855 | 2,906,215
Service revenue |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 4,237,525 | 3,708,071 | 3,008,711
Service revenue | Total Medicaid and Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 3,004,308 | 2,690,861 | 2,216,194
Service revenue | Medicaid |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 1,682,344 | 1,459,449 | 1,183,156
Service revenue | Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 1,055,226 | 985,749 | 832,160
Service revenue | Medicaid-skilled |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 266,738 | 245,663 | 200,878
Service revenue | Managed care |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 789,643 | 666,129 | 525,710
Service revenue | Private and other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 443,574 | $ 351,081 | $ 266,807
Service revenue | Revenue | Customer Concentration Risk |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 100.00% | 100.00% | 100.00%
Service revenue | Revenue | Customer Concentration Risk | Total Medicaid and Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 70.90% | 72.60% | 73.70%
Service revenue | Revenue | Customer Concentration Risk | Medicaid |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 39.70% | 39.40% | 39.30%
Service revenue | Revenue | Customer Concentration Risk | Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 24.90% | 26.60% | 27.70%
Service revenue | Revenue | Customer Concentration Risk | Medicaid-skilled |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 6.30% | 6.60% | 6.70%
Service revenue | Revenue | Customer Concentration Risk | Managed care |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 18.60% | 18.00% | 17.50%
Service revenue | Revenue | Customer Concentration Risk | Private and other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Revenue % | 10.50% | 9.40% | 8.80%
Service revenue | Operating Segments |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 4,076,825 | $ 3,578,855 | $ 2,906,215
Service revenue | Operating Segments | Skilled Services |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 4,076,825 | 3,578,855 | 2,906,215
Service revenue | Operating Segments | Skilled Services | Total Medicaid and Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 2,968,386 | 2,660,885 | 2,191,347
Service revenue | Operating Segments | Skilled Services | Medicaid |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 1,646,422 | 1,429,473 | 1,158,309
Service revenue | Operating Segments | Skilled Services | Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 1,055,226 | 985,749 | 832,160
Service revenue | Operating Segments | Skilled Services | Medicaid-skilled |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 266,738 | 245,663 | 200,878
Service revenue | Operating Segments | Skilled Services | Managed care |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 789,643 | 666,129 | 525,710
Service revenue | Operating Segments | Skilled Services | Private and other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 318,796 | 251,841 | 189,158
Service revenue | All Other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 160,700 | 129,216 | 102,496
Service revenue | All Other | Total Medicaid and Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 35,922 | 29,976 | 24,847
Service revenue | All Other | Medicaid |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 35,922 | 29,976 | 24,847
Service revenue | All Other | Medicare |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 0 | 0 | 0
Service revenue | All Other | Medicaid-skilled |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 0 | 0 | 0
Service revenue | All Other | Managed care |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | 0 | 0 | 0
Service revenue | All Other | Private and other |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |
Total Service Revenue | $ 124,778 | $ 99,240 | $ 77,649

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