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BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 3,729,355 $ 3,025,468 $ 2,627,461
Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 3,578,855 $ 2,906,215 $ 2,523,234
Total Medicaid and Medicare | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 72.60% 73.70% 73.60%
Service revenue      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 3,708,071 $ 3,008,711 $ 2,611,476
Service revenue | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 100.00% 100.00% 100.00%
Service revenue | Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 3,578,855 $ 2,906,215 $ 2,523,234
Service revenue | All Other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue 129,216 102,496 88,242
Service revenue | Total Medicaid and Medicare      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 2,690,861 $ 2,216,194 $ 1,922,333
Service revenue | Total Medicaid and Medicare | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 72.60% 73.70% 73.60%
Service revenue | Total Medicaid and Medicare | Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 2,660,885 $ 2,191,347 $ 1,906,934
Service revenue | Total Medicaid and Medicare | All Other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue 29,976 24,847 15,399
Service revenue | Medicaid      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 1,459,449 $ 1,183,156 $ 1,022,460
Service revenue | Medicaid | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 39.40% 39.30% 39.20%
Service revenue | Medicaid | Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 1,429,473 $ 1,158,309 $ 1,007,061
Service revenue | Medicaid | All Other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue 29,976 24,847 15,399
Service revenue | Medicare      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 985,749 $ 832,160 $ 727,103
Service revenue | Medicare | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 26.60% 27.70% 27.80%
Service revenue | Medicare | Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 985,749 $ 832,160 $ 727,103
Service revenue | Medicare | All Other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue 0 0 0
Service revenue | Medicaid-skilled      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 245,663 $ 200,878 $ 172,770
Service revenue | Medicaid-skilled | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 6.60% 6.70% 6.60%
Service revenue | Medicaid-skilled | Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 245,663 $ 200,878 $ 172,770
Service revenue | Medicaid-skilled | All Other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue 0 0 0
Service revenue | Managed care      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 666,129 $ 525,710 $ 456,728
Service revenue | Managed care | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 18.00% 17.50% 17.50%
Service revenue | Managed care | Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 666,129 $ 525,710 $ 456,728
Service revenue | Managed care | All Other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue 0 0 0
Service revenue | Private and other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 351,081 $ 266,807 $ 232,415
Service revenue | Private and other | Revenue | Customer Concentration Risk      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Revenue % 9.40% 8.80% 8.90%
Service revenue | Private and other | Operating Segments | Skilled Services      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 251,841 $ 189,158 $ 159,572
Service revenue | Private and other | All Other      
Segment Reporting, Revenue Reconciling Item [Line Items]      
Total Service Revenue $ 99,240 $ 77,649 $ 72,843