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BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | $ 4,260,485 | $ 3,729,355 | $ 3,025,468
Depreciation and amortization | 84,138 | 72,387 | 62,355
Interest expense | 8,286 | 8,087 | 8,931
Income before provision for income taxes | 386,094 | 272,762 | 289,089
Service revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 4,237,525 | 3,708,071 | 3,008,711
Rental revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 22,960 | 21,284 | 16,757
Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 4,171,911 | 3,661,341 | 2,979,152
Segment income (loss) | 547,798 | 493,990 | 436,603
Operating Segments | Service revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 4,076,825 | 3,578,855 | 2,906,215
Operating Segments | Rental revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 95,086 | 82,486 | 72,937
Operating Segments | Skilled Services |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 4,076,825 | 3,578,855 | 2,906,215
Other segment items | 3,513,167 | 3,075,164 | 2,464,259
Depreciation and amortization | 45,195 | 38,766 | 33,224
Interest expense | 0 | 0 | 0
Segment income (loss) | 518,463 | 464,925 | 408,732
Operating Segments | Skilled Services | Service revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 4,076,825 | 3,578,855 | 2,906,215
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 | 95,086 | 82,486 | 72,937
Other segment items | 9,152 | 8,455 | 7,746
Depreciation and amortization | 29,297 | 25,205 | 21,613
Interest expense | 27,302 | 19,761 | 15,707
Segment income (loss) | 29,335 | 29,065 | 27,871
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 | 95,086 | 82,486 | 72,937
Intercompany Elimination |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | (104,307) | (87,790) | (76,294)
Other segment items | (104,307) | (87,790) | (76,294)
Interest expense | (20,285) | (12,902) | (8,646)
Intercompany Elimination | Service revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | (20,366) | (15,451) | (12,718)
Intercompany Elimination | Rental revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | (83,941) | (72,339) | (63,576)
Other |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 192,881 | 155,804 | 122,610
Segment income (loss) | (161,704) | (221,228) | (147,514)
Other | Service revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | 181,066 | 144,667 | 115,214
Other | Rental revenue |  |  |
Segment Reporting Information [Line Items] |  |  |
TOTAL REVENUE | $ 11,815 | $ 11,137 | $ 7,396

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