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BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Segment Reporting Information [Line Items]        
TOTAL REVENUE $ 1,036,285 $ 921,345 $ 2,046,457 $ 1,808,186
Segment income (loss) 92,064 81,153 183,511 159,535
Loss on insurance recoveries from real estate   (100)   (100)
Impairment of long-lived assets     (1,849) 0
Income before provision for income taxes 92,064 81,053 181,662 159,435
Depreciation and amortization 20,488 17,596 40,145 34,708
Interest expense 2,040 2,023 4,004 4,059
Service revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 1,030,574 916,101 2,035,059 1,798,019
Rental revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 5,711 5,244 11,398 10,167
Operating Segments | Skilled Services        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 991,285 884,200 1,960,887 1,735,123
Segment income (loss) 122,185 117,008 248,994 230,353
Depreciation and amortization 10,911 9,417 21,447 18,481
Interest expense 0 0 0 0
Operating Segments | Skilled Services | Service revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 991,285 884,200 1,960,887 1,735,123
Operating Segments | Skilled Services | Rental revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 0 0 0 0
Operating Segments | Standard Bearer        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 23,354 19,914 45,555 39,631
Segment income (loss) 7,360 7,133 14,618 14,352
Depreciation and amortization 7,166 6,133 13,995 12,099
Interest expense 6,699 4,575 12,676 9,144
Operating Segments | Standard Bearer | Service revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 0 0 0 0
Operating Segments | Standard Bearer | Rental revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 23,354 19,914 45,555 39,631
Operating Segments | All Other        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 47,339 38,354 89,911 75,450
Segment income (loss) (37,481) (42,988) (80,101) (85,170)
Depreciation and amortization 2,411 2,046 4,703 4,128
Interest expense 339 304 611 615
Operating Segments | All Other | Service revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 44,340 35,535 83,966 70,068
Operating Segments | All Other | Rental revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE 2,999 2,819 5,945 5,382
Sublease income 1,089 1,063 2,169 1,771
Intercompany Elimination        
Segment Reporting Information [Line Items]        
TOTAL REVENUE (25,693) (21,123) (49,896) (42,018)
Segment income (loss) 0 0 0 0
Depreciation and amortization 0 0 0 0
Interest expense (4,998) (2,856) (9,283) (5,700)
Intercompany Elimination | Service revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE (5,051) (3,634) (9,794) (7,172)
Intercompany Elimination | Rental revenue        
Segment Reporting Information [Line Items]        
TOTAL REVENUE $ (20,642) $ (17,489) $ (40,102) $ (34,846)