v3.25.2
BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting Information [Line Items]        
Service revenue $ 1,221,414 $ 1,030,574 $ 2,388,454 $ 2,035,059
Rental revenue 6,355 5,711 12,356 11,398
TOTAL REVENUE 1,227,769 1,036,285 2,400,810 2,046,457
Depreciation and amortization 25,785 20,488 49,973 40,145
Interest expense 2,025 2,040 4,062 4,004
All other not included in segment income (46,772) (37,481) (92,706) (81,950)
Income before provision for income taxes 112,358 92,064 218,938 181,662
Operating segments        
Segment Reporting Information [Line Items]        
Service revenue 1,173,576 991,285 2,297,130 1,960,887
Rental revenue 31,468 23,354 59,869 45,555
TOTAL REVENUE 1,205,044 1,014,639 2,356,999 2,006,442
Segment income (loss) 159,130 129,545 311,644 263,612
Operating segments | Skilled Services        
Segment Reporting Information [Line Items]        
Service revenue 1,173,576 991,285 2,297,130 1,960,887
Rental revenue 0 0 0 0
TOTAL REVENUE 1,173,576 991,285 2,297,130 1,960,887
Other segment items 1,009,822 858,189 1,976,232 1,690,446
Depreciation and amortization 13,750 10,911 26,963 21,447
Interest expense 0 0 0 0
Segment income (loss) 150,004 122,185 293,935 248,994
Operating segments | Standard Bearer        
Segment Reporting Information [Line Items]        
Service revenue 0 0 0 0
Rental revenue 31,468 23,354 59,869 45,555
TOTAL REVENUE 31,468 23,354 59,869 45,555
Other segment items 2,766 2,129 5,372 4,266
Depreciation and amortization 9,265 7,166 17,741 13,995
Interest expense 10,311 6,699 19,047 12,676
Segment income (loss) 9,126 7,360 17,709 14,618
Other        
Segment Reporting Information [Line Items]        
Service revenue 54,174 44,340 103,601 83,966
Rental revenue 3,158 2,999 6,157 5,945
TOTAL REVENUE 57,332 47,339 109,758 89,911
Intercompany Elimination        
Segment Reporting Information [Line Items]        
Service revenue (6,336) (5,051) (12,277) (9,794)
Rental revenue (28,271) (20,642) (53,670) (40,102)
TOTAL REVENUE (34,607) (25,693) (65,947) (49,896)
Other segment items (34,607) (25,693) (65,947) (49,896)
Interest expense $ (9,023) $ (4,998) $ (16,063) $ (9,283)