XML 67 R54.htm IDEA: XBRL DOCUMENT v3.25.1
BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue $ 1,173,041 $ 1,010,172
Operating segments    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 1,151,955 991,803
Operating segments | Skilled Services    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 1,123,554 969,602
Service revenue    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 1,167,040 1,004,485
Service revenue | Total Medicaid and Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 811,142 719,055
Service revenue | Medicaid    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 453,840 390,163
Service revenue | Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 287,751 265,583
Service revenue | Medicaid-skilled    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 69,551 63,309
Service revenue | Managed care    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 227,217 188,104
Service revenue | Private and other    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue $ 128,681 $ 97,326
Service revenue | Revenue | Customer Concentration Risk    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue % 100.00% 100.00%
Service revenue | Revenue | Customer Concentration Risk | Total Medicaid and Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue % 69.50% 71.60%
Service revenue | Revenue | Customer Concentration Risk | Medicaid    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue % 38.90% 38.80%
Service revenue | Revenue | Customer Concentration Risk | Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue % 24.70% 26.40%
Service revenue | Revenue | Customer Concentration Risk | Medicaid-skilled    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue % 5.90% 6.40%
Service revenue | Revenue | Customer Concentration Risk | Managed care    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue % 19.50% 18.70%
Service revenue | Revenue | Customer Concentration Risk | Private and other    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue % 11.00% 9.70%
Service revenue | Operating segments    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue $ 1,123,554 $ 969,602
Service revenue | Operating segments | Skilled Services    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 1,123,554 969,602
Service revenue | Operating segments | Skilled Services | Total Medicaid and Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 800,713 711,010
Service revenue | Operating segments | Skilled Services | Medicaid    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 443,411 382,118
Service revenue | Operating segments | Skilled Services | Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 287,751 265,583
Service revenue | Operating segments | Skilled Services | Medicaid-skilled    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 69,551 63,309
Service revenue | Operating segments | Skilled Services | Managed care    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 227,217 188,104
Service revenue | Operating segments | Skilled Services | Private and other    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 95,624 70,488
Service revenue | All Other    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 43,486 34,883
Service revenue | All Other | Total Medicaid and Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 10,429 8,045
Service revenue | All Other | Medicaid    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 10,429 8,045
Service revenue | All Other | Medicare    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 0 0
Service revenue | All Other | Medicaid-skilled    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 0 0
Service revenue | All Other | Managed care    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue 0 0
Service revenue | All Other | Private and other    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Total Service Revenue $ 33,057 $ 26,838