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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, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 1,221,414 | $ 1,030,574 | $ 2,388,454 | $ 2,035,059
Total Medicaid and Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 852,172 | 733,598 | 1,663,314 | 1,452,653
Medicaid |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 485,848 | 411,760 | 939,688 | 801,923
Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 291,117 | 258,869 | 578,868 | 524,452
Medicaid-skilled |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 75,207 | 62,969 | 144,758 | 126,278
Managed care |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 229,495 | 191,022 | 456,712 | 379,126
Private and other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 139,747 | $ 105,954 | $ 268,428 | $ 203,280
Revenue | Customer Concentration Risk |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 100.00% | 100.00% | 100.00% | 100.00%
Revenue | Customer Concentration Risk | Total Medicaid and Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 69.80% | 71.20% | 69.60% | 71.40%
Revenue | Customer Concentration Risk | Medicaid |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 39.80% | 40.00% | 39.30% | 39.40%
Revenue | Customer Concentration Risk | Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 23.80% | 25.10% | 24.20% | 25.80%
Revenue | Customer Concentration Risk | Medicaid-skilled |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 6.20% | 6.10% | 6.10% | 6.20%
Revenue | Customer Concentration Risk | Managed care |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 18.80% | 18.50% | 19.10% | 18.60%
Revenue | Customer Concentration Risk | Private and other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Revenue % | 11.40% | 10.30% | 11.30% | 10.00%
Operating segments |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 1,173,576 | $ 991,285 | $ 2,297,130 | $ 1,960,887
Operating segments | Skilled Services |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 1,173,576 | 991,285 | 2,297,130 | 1,960,887
Operating segments | Skilled Services | Total Medicaid and Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 840,228 | 724,965 | 1,640,941 | 1,435,975
Operating segments | Skilled Services | Medicaid |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 473,904 | 403,127 | 917,315 | 785,245
Operating segments | Skilled Services | Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 291,117 | 258,869 | 578,868 | 524,452
Operating segments | Skilled Services | Medicaid-skilled |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 75,207 | 62,969 | 144,758 | 126,278
Operating segments | Skilled Services | Managed care |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 229,495 | 191,022 | 456,712 | 379,126
Operating segments | Skilled Services | Private and other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 103,853 | 75,298 | 199,477 | 145,786
All Other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 47,838 | 39,289 | 91,324 | 74,172
All Other | Total Medicaid and Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 11,944 | 8,633 | 22,373 | 16,678
All Other | Medicaid |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 11,944 | 8,633 | 22,373 | 16,678
All Other | Medicare |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 0 | 0 | 0 | 0
All Other | Medicaid-skilled |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 0 | 0 | 0 | 0
All Other | Managed care |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | 0 | 0 | 0 | 0
All Other | Private and other |  |  |  |
Segment Reporting, Revenue Reconciling Item [Line Items] |  |  |  |
Total Service Revenue | $ 35,894 | $ 30,656 | $ 68,951 | $ 57,494

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