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Accounting Policies (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Dec. 31, 2020
Dec. 31, 2019
Oct. 01, 2019
Health Insurance Costs [Abstract]              
Percentage of our health insurance coverage provided by United 87.00%   87.00%        
Number of days in advance of the beginning of a reporting quarter United establishes cash funding rates     90 days        
Required accumulated cash surplus $ 9,000   $ 9,000   $ 9,000    
Required deposit equal to approximately one day of claims funding activity 6,500   6,500        
Amount which plan costs were less than the net premiums paid and owed 600   600        
Prepaid health insurance, current (8,400)   (8,400)        
Premiums owed to United 14,500   14,500        
Benefits costs incurred (reduced) related to run-off (5,700) $ 3,000 (5,700) $ 3,000      
Workers' Compensation Costs [Abstract]              
Company's maximum economic burden for the first layer of claims per occurrence 1,000   1,000       $ 1,500
Company's maximum aggregate economic burden for claims in excess of 1 million per policy year 6,000   6,000       $ 6,000
Decrease Increase in accrued workers' compensation costs for changes in estimated losses     $ 23,000 $ 22,200      
U.S. Treasury rates that correspond with the weighted average estimated claim payout period (in hundredths)     0.50% 0.80%      
Incurred but not paid workers compensation liabilities [Abstract]              
Liability for Unpaid Claims and Claims Adjustment Expense, Adjustments         240,761 $ 242,904  
Workers' Compensation Expense     $ 20,559 $ 21,888      
Present value discount, net of accretion     407 223      
Paid claims     (22,904) (22,298)      
WorkersCompensationLiabilityNetOfAdminFeesCurrent 46,120 45,216 46,120 45,216      
Long-term portion of accrued claims 192,703 197,501 192,703 197,501 195,239    
Ending balance 238,823 242,717 238,823 242,717      
Workers compensation administrative fees accrued 3,700   3,700        
Undiscounted accrued workers' compensation costs     $ 254,800 261,400      
Time period incurred claims expected to be paid recorded as restricted cash     1 year        
Time period incurred claims expected to be paid, included in deposits, a long-term asset     Greater than 1 year        
Restricted cash 46,128 45,216 $ 46,128 45,216 45,522 49,295  
Deposits workers compensation 203,612 177,944 $ 203,612 177,944 186,331 $ 175,913  
Time period estimate of incurred claim costs to be paid included in short-term liabilities     1 year        
Time period incurred claims expected to be paid, included in long-term liabilities     Greater than 1 year        
Revenue from Contract with Customer [Abstract]              
Unbilled 585,400   $ 585,400   $ 380,800    
Disaggregation of Revenue [Line Items]              
Revenue from Contract with Customer, Excluding Assessed Tax 1,185,371 993,366 2,472,206 2,222,849      
Northeast [Member]              
Disaggregation of Revenue [Line Items]              
Revenue from Contract with Customer, Excluding Assessed Tax 329,016 273,543 702,645 617,401      
Southeast [Member]              
Disaggregation of Revenue [Line Items]              
Revenue from Contract with Customer, Excluding Assessed Tax 150,810 117,013 307,070 258,175      
Central [Member]              
Disaggregation of Revenue [Line Items]              
Revenue from Contract with Customer, Excluding Assessed Tax 206,084 177,022 431,784 388,314      
Southwest [Member]              
Disaggregation of Revenue [Line Items]              
Revenue from Contract with Customer, Excluding Assessed Tax 238,368 222,734 495,348 494,658      
West [Member]              
Disaggregation of Revenue [Line Items]              
Revenue from Contract with Customer, Excluding Assessed Tax 247,184 192,310 508,538 439,121      
Other Revenues [Member]              
Disaggregation of Revenue [Line Items]              
Revenue from Contract with Customer, Excluding Assessed Tax $ 13,909 $ 10,744 $ 26,821 $ 25,180