v3.26.1
BUSINESS SEGMENTS - Schedule of Segment Financial Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting [Line Items]        
Service revenue $ 1,432,497 $ 1,221,414 $ 2,814,800 $ 2,388,454
Rental revenue 7,984 6,355 14,877 12,356
TOTAL REVENUE 1,440,481 1,227,769 2,829,677 2,400,810
Depreciation and amortization 31,406 25,785 60,207 49,973
Interest expense 1,933 2,025 3,865 4,062
All other not included in segment income (58,017) (46,772) (114,271) (92,706)
Income before provision for income taxes 133,674 112,358 262,246 218,938
Cost of services 1,134,237 971,780 2,230,063 1,899,629
Rent—cost of services 66,412 57,195 131,918 114,271
General and administrative expense 85,922 69,107 160,132 131,662
Operating segments        
Segment Reporting [Line Items]        
Service revenue 1,379,912 1,173,576 2,710,747 2,297,130
Rental revenue 44,133 31,468 80,235 59,869
TOTAL REVENUE 1,424,045 1,205,044 2,790,982 2,356,999
Segment income 191,691 159,130 376,517 311,644
Operating segments | Skilled Services        
Segment Reporting [Line Items]        
Service revenue 1,379,912 1,173,576 2,710,747 2,297,130
Rental revenue 0 0 0 0
TOTAL REVENUE 1,379,912 1,173,576 2,710,747 2,297,130
Other segment items 1,184,846 1,009,822 2,326,354 1,976,232
Depreciation and amortization 15,445 13,750 30,755 26,963
Interest expense 0 0 0 0
Segment income 179,621 150,004 353,638 293,935
Cost of services 1,089,109 932,823 2,141,833 1,824,678
Rent—cost of services 95,737 76,999 184,521 151,554
Operating segments | Standard Bearer        
Segment Reporting [Line Items]        
Service revenue 0 0 0 0
Rental revenue 44,133 31,468 80,235 59,869
TOTAL REVENUE 44,133 31,468 80,235 59,869
Other segment items 3,621 2,766 6,743 5,372
Depreciation and amortization 12,676 9,265 23,459 17,741
Interest expense 15,766 10,311 27,154 19,047
Segment income 12,070 9,126 22,879 17,709
Cost of services 500 472 1,125 1,070
Rent—cost of services 346 270 611 527
General and administrative expense 2,775 2,024 5,007 3,775
Other        
Segment Reporting [Line Items]        
Service revenue 61,053 54,174 120,114 103,601
Rental revenue 3,215 3,158 6,410 6,157
TOTAL REVENUE 64,268 57,332 126,524 109,758
Intercompany Elimination        
Segment Reporting [Line Items]        
Service revenue (8,468) (6,336) (16,061) (12,277)
Rental revenue (39,364) (28,271) (71,768) (53,670)
TOTAL REVENUE (47,832) (34,607) (87,829) (65,947)
Other segment items (47,832) (34,607) (87,829) (65,947)
Interest expense $ (14,149) $ (9,023) $ (23,916) $ (16,063)