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OPERATION EXPANSIONS - Narrative (Details)
$ in Thousands
3 Months Ended 9 Months Ended 14 Months Ended
Sep. 01, 2024
USD ($)
facility
state
Sep. 30, 2024
USD ($)
bed
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
realEstateEntity
bed
facility
Sep. 30, 2023
USD ($)
Nov. 19, 2025
USD ($)
property
Oct. 01, 2024
facility
bed
property
Business Acquisition [Line Items]              
Payments to acquire interest in joint venture | $       $ 30,426 $ 0    
Payments to acquire buildings | $       $ 224,761 84,435    
2024 Expansion              
Business Acquisition [Line Items]              
Stand-alone facilities acquired       15      
Number of skilled nursing beds | bed   1,879   1,879      
Number of assisted living beds | bed   174   174      
Real estate purchases | realEstateEntity       11      
Real estate acquired in conjunction with operations | realEstateEntity       4      
Real estate acquired previously operated by subsidiaries       7      
Payments to acquire buildings | $       $ 225,261      
2024 Expansion | Subsequent event              
Business Acquisition [Line Items]              
Number of new states of acquired facilities             2
Total number of skilled nursing and assisted living             45
Number of skilled nursing and assisted living negotiated as new leases             39
Number of skilled nursing beds | bed             5,030
Number of assisted living beds | bed             271
Real estate purchases | property           4  
Payments to acquire buildings | $           $ 138,059  
Number of new states and expended facilities             5
Number of previously owned real estate | property             2
Additional real estate purchases | property           5  
Number of facilities disposed             1
Number of skilled nursing beds including disposed facility | bed             120
September 2024 Business Combination              
Business Acquisition [Line Items]              
Number of skilled nursing facilities 32            
Number of assisted living facilities 21            
Number of independent skilled nursing facilities 2,511            
Number of independent assisted living facilities 1,334            
Number of states of acquired facilities | state 8            
Number of new states of acquired facilities | state 5            
Total number of skilled nursing and assisted living 53            
Revenue | $   $ 1,082,734 $ 896,291 3,159,813 2,568,790    
Income before provision for income taxes | $   34,723 $ 29,115 45,611 $ 107,224    
September 2024 Business Combination | Joint Venture              
Business Acquisition [Line Items]              
Payments to acquire interest in joint venture | $ $ 10,000            
Ownership percentage 0.258            
Number of skilled nursing and assisted living negotiated as new leases 37            
September 2024 Business Combination | Nonrelated Party              
Business Acquisition [Line Items]              
Number of skilled nursing and assisted living negotiated as new leases 8            
Number of skilled nursing and assisted living previously operated 8            
Series of Individually Immaterial Business Acquisitions              
Business Acquisition [Line Items]              
Revenue | $   54,272   54,272      
Income before provision for income taxes | $   $ 483   $ 483