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BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 1,081,776 $ 940,791 $ 3,128,233 $ 2,748,977
Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue 1,033,113 902,967 2,994,000 2,638,090
Service revenue        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 1,076,092 $ 935,324 $ 3,111,151 $ 2,733,343
Service revenue | Revenue | Customer Concentration Risk        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue % 100.00% 100.00% 100.00% 100.00%
Service revenue | Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 1,033,113 $ 902,967 $ 2,994,000 $ 2,638,090
Service revenue | All Other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue 42,979 32,357 117,151 95,253
Service revenue | Total Medicaid and Medicare        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 755,143 $ 674,821 $ 2,207,796 $ 1,990,612
Service revenue | Total Medicaid and Medicare | Revenue | Customer Concentration Risk        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue % 70.20% 72.10% 71.00% 72.80%
Service revenue | Total Medicaid and Medicare | Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 745,691 $ 667,062 $ 2,181,666 $ 1,968,633
Service revenue | Total Medicaid and Medicare | All Other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue 9,452 7,759 26,130 21,979
Service revenue | Medicaid        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 425,642 $ 374,838 $ 1,227,565 $ 1,074,883
Service revenue | Medicaid | Revenue | Customer Concentration Risk        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue % 39.60% 40.10% 39.50% 39.30%
Service revenue | Medicaid | Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 416,190 $ 367,079 $ 1,201,435 $ 1,052,904
Service revenue | Medicaid | All Other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue 9,452 7,759 26,130 21,979
Service revenue | Medicare        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 263,594 $ 237,531 $ 788,046 $ 733,335
Service revenue | Medicare | Revenue | Customer Concentration Risk        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue % 24.50% 25.40% 25.30% 26.80%
Service revenue | Medicare | Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 263,594 $ 237,531 $ 788,046 $ 733,335
Service revenue | Medicare | All Other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue 0 0 0 0
Service revenue | Medicaid-skilled        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 65,907 $ 62,452 $ 192,185 $ 182,394
Service revenue | Medicaid-skilled | Revenue | Customer Concentration Risk        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue % 6.10% 6.60% 6.20% 6.70%
Service revenue | Medicaid-skilled | Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 65,907 $ 62,452 $ 192,185 $ 182,394
Service revenue | Medicaid-skilled | All Other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue 0 0 0 0
Service revenue | Managed care        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 202,528 $ 170,747 $ 581,654 $ 488,511
Service revenue | Managed care | Revenue | Customer Concentration Risk        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue % 18.80% 18.30% 18.70% 17.90%
Service revenue | Managed care | Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 202,528 $ 170,747 $ 581,654 $ 488,511
Service revenue | Managed care | All Other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue 0 0 0 0
Service revenue | Private and other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 118,421 $ 89,756 $ 321,701 $ 254,220
Service revenue | Private and other | Revenue | Customer Concentration Risk        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue % 11.00% 9.60% 10.30% 9.30%
Service revenue | Private and other | Operating Segments | Skilled Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 84,894 $ 65,158 $ 230,680 $ 180,946
Service revenue | Private and other | All Other        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Total Service Revenue $ 33,527 $ 24,598 $ 91,021 $ 73,274