v3.25.2
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