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BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($)
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Segment Reporting Information [Line Items]      
TOTAL REVENUE $ 3,729,355,000 $ 3,025,468,000 $ 2,627,461,000
Segment income (loss) 272,739,000 285,822,000 257,564,000
Gain on sale of assets and insurance recoveries from real estate, net 23,000 3,267,000 440,000
Income before provision for income taxes 272,762,000 289,089,000 258,004,000
Depreciation and amortization 72,387,000 62,355,000 55,985,000
Interest expense 8,087,000 8,931,000 6,849,000
Service revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 3,708,071,000 3,008,711,000 2,611,476,000
Rental revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 21,284,000 16,757,000 15,985,000
Operating Segments | Skilled Services      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 3,578,855,000 2,906,215,000 2,523,234,000
Segment income (loss) 464,925,000 408,732,000 373,603,000
Depreciation and amortization 38,766,000 33,224,000 30,681,000
Interest expense 0 0 0
Operating Segments | Skilled Services | Service revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 3,578,855,000 2,906,215,000 2,523,234,000
Operating Segments | Skilled Services | Rental revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 0 0 0
Operating Segments | Standard Bearer      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 82,486,000 72,937,000 58,127,000
Segment income (loss) 29,065,000 27,871,000 31,876,000
Depreciation and amortization 25,205,000 21,613,000 17,558,000
Interest expense 19,761,000 15,707,000 6,842,000
Operating Segments | Standard Bearer | Service revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 0 0 0
Operating Segments | Standard Bearer | Rental revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 82,486,000 72,937,000 58,127,000
Operating Segments | All Other      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 155,804,000 122,610,000 102,685,000
Segment income (loss) (221,251,000) (150,781,000) (147,915,000)
Depreciation and amortization 8,416,000 7,518,000 7,746,000
Interest expense 1,228,000 1,870,000 7,000
Operating Segments | All Other | Service revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 144,667,000 115,214,000 95,276,000
Operating Segments | All Other | Rental revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE 11,137,000 7,396,000 7,409,000
Sublease income 3,897,000 0 0
Intercompany Elimination      
Segment Reporting Information [Line Items]      
TOTAL REVENUE (87,790,000) (76,294,000) (56,585,000)
Segment income (loss) 0 0 0
Depreciation and amortization 0 0 0
Interest expense (12,902,000) (8,646,000) 0
Intercompany Elimination | Service revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE (15,451,000) (12,718,000) (7,034,000)
Intercompany Elimination | Rental revenue      
Segment Reporting Information [Line Items]      
TOTAL REVENUE $ (72,339,000) $ (63,576,000) $ (49,551,000)