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BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | $ 1,010,172 | $ 886,841
Segment income (loss) | 91,447 | 78,382
Impairment of long-lived assets | (1,849) | 0
Income before provision for income taxes | 89,598 | 78,382
Depreciation and amortization | 19,657 | 17,112
Interest expense | 1,964 | 2,036
Service revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 1,004,485 | 881,918
Rental revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 5,687 | 4,923
Operating Segments | Skilled Services |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 969,602 | 850,923
Segment income (loss) | 126,809 | 113,345
Depreciation and amortization | 10,536 | 9,064
Interest expense | 0 | 0
Operating Segments | Skilled Services | Service revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 969,602 | 850,923
Operating Segments | Skilled Services | Rental revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 0 | 0
Operating Segments | Standard Bearer |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 22,201 | 19,717
Segment income (loss) | 7,258 | 7,219
Depreciation and amortization | 6,829 | 5,966
Interest expense | 5,977 | 4,569
Operating Segments | Standard Bearer | Service revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 0 | 0
Operating Segments | Standard Bearer | Rental revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 22,201 | 19,717
All Other |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 42,572 | 37,096
Segment income (loss) | (42,620) | (42,182)
Depreciation and amortization | 2,292 | 2,082
Interest expense | 272 | 311
All Other | Service revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 39,626 | 34,533
All Other | Rental revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | 2,946 | 2,563
Intercompany Elimination |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | (24,203) | (20,895)
Segment income (loss) | 0 | 0
Depreciation and amortization | 0 | 0
Interest expense | (4,285) | (2,844)
Intercompany Elimination | Service revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | (4,743) | (3,538)
Intercompany Elimination | Rental revenue |  |
Segment Reporting Information [Line Items] |  |
TOTAL REVENUE | $ (19,460) | $ (17,357)

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