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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