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REVENUE AND ACCOUNTS RECEIVABLE (Tables) | 9 Months Ended
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Sep. 30, 2025
Revenue from Contract with Customer [Abstract] |
Schedule of Disaggregation of Revenue | Service revenue for the three and nine months ended September 30, 2025 and 2024 is summarized in the following tables:
| Three Months Ended September 30,
| 2025 |  | 2024
| Revenue |  | % of Revenue |  | Revenue |  | % of Revenue
Medicaid(1) | $ | 515,157 |  |  | 39.9 | % |  | $ | 425,642 |  |  | 39.6 | %
Medicare | 303,281 |  |  | 23.5 |  |  | 263,594 |  |  | 24.5 |
Medicaid — skilled | 78,450 |  |  | 6.1 |  |  | 65,907 |  |  | 6.1 |
Total Medicaid and Medicare | $ | 896,888 |  |  | 69.5 | % |  | $ | 755,143 |  |  | 70.2 | %
Managed care | 237,978 |  |  | 18.5 |  |  | 202,528 |  |  | 18.8 |
Private and other(2) | 154,913 |  |  | 12.0 |  |  | 118,421 |  |  | 11.0 |
SERVICE REVENUE | $ | 1,289,779 |  |  | 100.0 | % |  | $ | 1,076,092 |  |  | 100.0 | %
(1) Medicaid payor includes revenue for senior living operations.
(2) Private and other includes revenue for skilled services (private, Veteran Affairs and hospice payors), senior living and ancillary operations.
| Nine Months Ended September 30,
| 2025 |  | 2024 |  |
| Revenue |  | % of Revenue |  | Revenue |  | % of Revenue |  |  |  |
Medicaid(1) | $ | 1,454,845 |  |  | 39.6 | % |  | $ | 1,227,565 |  |  | 39.5 | % |  |  |  |
Medicare | 882,149 |  |  | 24.0 |  |  | 788,046 |  |  | 25.3 |  |  |  |  |
Medicaid — skilled | 223,208 |  |  | 6.0 |  |  | 192,185 |  |  | 6.2 |  |  |  |  |
Total Medicaid and Medicare | $ | 2,560,202 |  |  | 69.6 | % |  | $ | 2,207,796 |  |  | 71.0 | % |  |  |  |
Managed care | 694,690 |  |  | 18.9 |  |  | 581,654 |  |  | 18.7 |  |  |  |  |
Private and other(2) | 423,341 |  |  | 11.5 |  |  | 321,701 |  |  | 10.3 |  |  |  |  |
SERVICE REVENUE | $ | 3,678,233 |  |  | 100.0 | % |  | $ | 3,111,151 |  |  | 100.0 | % |  |  |  |
(1) Medicaid payor includes revenue for senior living operations. |  |  |  |
(2) Private and other includes revenue for skilled services (private, Veteran Affairs and hospice payors), senior living and ancillary operations. |  |  |  |
Schedule of Accounts Receivable | Accounts receivable as of September 30, 2025 and December 31, 2024, is summarized in the following table:
| September 30, 2025 |  | December 31, 2024
Medicaid | $ | 266,048 |  |  | $ | 228,872 |
Managed care | 162,905 |  |  | 139,711 |
Medicare | 97,949 |  |  | 77,056 |
Private and other payors | 93,790 |  |  | 132,693 |
| $ | 620,692 |  |  | $ | 578,332 |
Less: allowance for doubtful accounts | (7,948) |  |  | (8,435) |
ACCOUNTS RECEIVABLE, NET | $ | 612,744 |  |  | $ | 569,897 |

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