v3.26.3
BUSINESS SEGMENTS - Schedule of Service Revenue by Major Payor Source (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Segment Reporting [Line Items]        
Total Service Revenue $ 1,476,835 $ 1,289,779 $ 4,291,635 $ 3,678,233
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 $ 1,011,790 $ 896,888 $ 2,953,440 $ 2,560,202
Total Medicaid and Medicare | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 68.50% 69.50% 68.80% 69.60%
Medicaid        
Segment Reporting [Line Items]        
Total Service Revenue $ 590,450 $ 515,157 $ 1,700,719 $ 1,454,845
Medicaid | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 40.00% 39.90% 39.60% 39.60%
Medicare        
Segment Reporting [Line Items]        
Total Service Revenue $ 342,866 $ 303,281 $ 1,018,345 $ 882,149
Medicare | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 23.20% 23.50% 23.70% 24.00%
Medicaid-skilled        
Segment Reporting [Line Items]        
Total Service Revenue $ 78,474 $ 78,450 $ 234,376 $ 223,208
Medicaid-skilled | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 5.30% 6.10% 5.50% 6.00%
Managed care        
Segment Reporting [Line Items]        
Total Service Revenue $ 276,484 $ 237,978 $ 802,683 $ 694,690
Managed care | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 18.70% 18.50% 18.70% 18.90%
Private and other        
Segment Reporting [Line Items]        
Total Service Revenue $ 188,561 $ 154,913 $ 535,512 $ 423,341
Private and other | Revenue | Customer Concentration Risk        
Segment Reporting [Line Items]        
Revenue % 12.80% 12.00% 12.50% 11.50%
Operating segments        
Segment Reporting [Line Items]        
Total Service Revenue $ 1,421,971 $ 1,239,096 $ 4,132,718 $ 3,536,226
Operating segments | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 1,421,971 1,239,096 4,132,718 3,536,226
Operating segments | Total Medicaid and Medicare | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 997,371 883,453 2,910,673 2,524,394
Operating segments | Medicaid | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 576,031 501,722 1,657,952 1,419,037
Operating segments | Medicare | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 342,866 303,281 1,018,345 882,149
Operating segments | Medicaid-skilled | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 78,474 78,450 234,376 223,208
Operating segments | Managed care | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 276,484 237,978 802,683 694,690
Operating segments | Private and other | Skilled Services        
Segment Reporting [Line Items]        
Total Service Revenue 148,116 117,665 419,362 317,142
All Other        
Segment Reporting [Line Items]        
Total Service Revenue 54,864 50,683 158,917 142,007
All Other | Total Medicaid and Medicare        
Segment Reporting [Line Items]        
Total Service Revenue 14,419 13,435 42,767 35,808
All Other | Medicaid        
Segment Reporting [Line Items]        
Total Service Revenue 14,419 13,435 42,767 35,808
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 $ 40,445 $ 37,248 $ 116,150 $ 106,199