v3.26.1
BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting [Line Items]        
Total Service Revenue $ 1,432,497 $ 1,221,414 $ 2,814,800 $ 2,388,454
Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 100.00% 100.00% 100.00% 100.00%
Total Medicaid and Medicare        
Segment Reporting [Line Items]        
Total Service Revenue $ 987,133 $ 852,172 $ 1,941,650 $ 1,663,314
Total Medicaid and Medicare | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 68.90% 69.80% 69.00% 69.60%
Medicaid        
Segment Reporting [Line Items]        
Total Service Revenue $ 566,819 $ 485,848 $ 1,110,269 $ 939,688
Medicaid | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 39.60% 39.80% 39.40% 39.30%
Medicare        
Segment Reporting [Line Items]        
Total Service Revenue $ 339,650 $ 291,117 $ 675,479 $ 578,868
Medicare | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 23.70% 23.80% 24.00% 24.20%
Medicaid-skilled        
Segment Reporting [Line Items]        
Total Service Revenue $ 80,664 $ 75,207 $ 155,902 $ 144,758
Medicaid-skilled | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 5.60% 6.20% 5.60% 6.10%
Managed care        
Segment Reporting [Line Items]        
Total Service Revenue $ 265,348 $ 229,495 $ 526,199 $ 456,712
Managed care | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 18.50% 18.80% 18.70% 19.10%
Private and other        
Segment Reporting [Line Items]        
Total Service Revenue $ 180,016 $ 139,747 $ 346,951 $ 268,428
Private and other | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 12.60% 11.40% 12.30% 11.30%
Operating segments        
Segment Reporting [Line Items]        
Total Service Revenue $ 1,379,912 $ 1,173,576 $ 2,710,747 $ 2,297,130
Operating segments | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 1,379,912 1,173,576 2,710,747 2,297,130
Operating segments | Total Medicaid and Medicare | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 972,902 840,228 1,913,302 1,640,941
Operating segments | Medicaid | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 552,588 473,904 1,081,921 917,315
Operating segments | Medicare | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 339,650 291,117 675,479 578,868
Operating segments | Medicaid-skilled | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 80,664 75,207 155,902 144,758
Operating segments | Managed care | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 265,348 229,495 526,199 456,712
Operating segments | Private and other | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 141,662 103,853 271,246 199,477
All Other        
Segment Reporting [Line Items]        
Total Service Revenue 52,585 47,838 104,053 91,324
All Other | Total Medicaid and Medicare        
Segment Reporting [Line Items]        
Total Service Revenue 14,231 11,944 28,348 22,373
All Other | Medicaid        
Segment Reporting [Line Items]        
Total Service Revenue 14,231 11,944 28,348 22,373
All Other | Medicare        
Segment Reporting [Line Items]        
Total Service Revenue 0 0 0 0
All Other | Medicaid-skilled        
Segment Reporting [Line Items]        
Total Service Revenue 0 0 0 0
All Other | Managed care        
Segment Reporting [Line Items]        
Total Service Revenue 0 0 0 0
All Other | Private and other        
Segment Reporting [Line Items]        
Total Service Revenue $ 38,354 $ 35,894 $ 75,705 $ 68,951