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BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Segment Reporting Information [Line Items]    
TOTAL REVENUE $ 1,173,041 $ 1,010,172
Depreciation and amortization 24,188 19,657
Interest expense 2,037 1,964
All other not included in segment income (45,934) (44,469)
Income before provision for income taxes 106,580 89,598
Service revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 1,167,040 1,004,485
Rental revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 6,001 5,687
Operating segments    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 1,151,955 991,803
Segment income (loss) 152,514 134,067
Operating segments | Service revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 1,123,554 969,602
Operating segments | Rental revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 28,401 22,201
Operating segments | Skilled Services    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 1,123,554 969,602
Other segment items 966,410 832,257
Depreciation and amortization 13,213 10,536
Interest expense 0 0
Segment income (loss) 143,931 126,809
Operating segments | Skilled Services | Service revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 1,123,554 969,602
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 28,401 22,201
Other segment items 2,606 2,137
Depreciation and amortization 8,476 6,829
Interest expense 8,736 5,977
Segment income (loss) 8,583 7,258
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 28,401 22,201
Other    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 52,426 42,572
Other | Service revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 49,427 39,626
Other | Rental revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE 2,999 2,946
Intercompany Elimination    
Segment Reporting Information [Line Items]    
TOTAL REVENUE (31,340) (24,203)
Other segment items (31,340) (24,203)
Interest expense (7,040) (4,285)
Intercompany Elimination | Service revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE (5,941) (4,743)
Intercompany Elimination | Rental revenue    
Segment Reporting Information [Line Items]    
TOTAL REVENUE $ (25,399) $ (19,460)