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BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Segment Reporting Information [Line Items]        
Service revenue $ 1,289,779 $ 1,076,092 $ 3,678,233 $ 3,111,151
Rental revenue 6,626 5,684 18,982 17,082
TOTAL REVENUE 1,296,405 1,081,776 3,697,215 3,128,233
Depreciation and amortization 26,633 21,474 76,606 61,619
Interest expense 1,971 2,024 6,033 6,028
All other not included in segment income (56,148) (37,089) (148,854) (119,039)
Income before provision for income taxes 106,600 98,674 325,538 280,336
Operating segments        
Segment Reporting Information [Line Items]        
Service revenue 1,239,096 1,033,113 3,536,226 2,994,000
Rental revenue 32,610 24,429 92,479 69,984
TOTAL REVENUE 1,271,706 1,057,542 3,628,705 3,063,984
Segment income (loss) 162,748 135,763 474,392 399,375
Operating segments | Skilled Services        
Segment Reporting Information [Line Items]        
Service revenue 1,239,096 1,033,113 3,536,226 2,994,000
Rental revenue 0 0 0 0
TOTAL REVENUE 1,239,096 1,033,113 3,536,226 2,994,000
Other segment items 1,071,815 893,083 3,048,047 2,583,529
Depreciation and amortization 14,155 11,541 41,118 32,988
Interest expense 0 0 0 0
Segment income (loss) 153,126 128,489 447,061 377,483
Operating segments | Standard Bearer        
Segment Reporting Information [Line Items]        
Service revenue 0 0 0 0
Rental revenue 32,610 24,429 92,479 69,984
TOTAL REVENUE 32,610 24,429 92,479 69,984
Other segment items 2,959 2,420 8,331 6,686
Depreciation and amortization 9,709 7,484 27,450 21,479
Interest expense 10,320 7,251 29,367 19,927
Segment income (loss) 9,622 7,274 27,331 21,892
Other        
Segment Reporting Information [Line Items]        
Service revenue 57,377 48,209 160,978 132,175
Rental revenue 3,201 2,935 9,358 8,880
TOTAL REVENUE 60,578 51,144 170,336 141,055
Intercompany Elimination        
Segment Reporting Information [Line Items]        
Service revenue (6,694) (5,230) (18,971) (15,024)
Rental revenue (29,185) (21,680) (82,855) (61,782)
TOTAL REVENUE (35,879) (26,910) (101,826) (76,806)
Other segment items (35,879) (26,910) (101,826) (76,806)
Interest expense $ (9,090) $ (5,535) $ (25,153) $ (14,818)