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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)