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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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