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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2020	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Net service revenues	$ 195,996	$ 193,987	$ 184,576	$ 190,216	$ 192,376	$ 168,993	$ 148,915	$ 138,507	$ 764,775	$ 648,791	$ 516,647
Personal Care [Member]
Net service revenues									647,233	580,728	490,941
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues									$ 647,233	$ 580,728	$ 490,941
Concentration risk, percentage									100.00%	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | State, Local And Other Governmental Programs [Member]
Net service revenues									$ 324,670	$ 303,479	$ 285,973
Concentration risk, percentage									50.20%	52.20%	58.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues									$ 287,032	$ 239,559	$ 173,391
Concentration risk, percentage									44.30%	41.30%	35.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues									$ 20,398	$ 21,765	$ 20,003
Concentration risk, percentage									3.20%	3.70%	4.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues									$ 9,991	$ 9,204	$ 6,173
Concentration risk, percentage									1.50%	1.60%	1.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues									$ 5,142	$ 6,721	$ 5,401
Concentration risk, percentage									0.80%	1.20%	1.10%
Hospice [Member]
Net service revenues									$ 101,297	$ 53,601	$ 18,850
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues									$ 101,297	$ 53,601	$ 18,850
Concentration risk, percentage									100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues									$ 94,068	$ 49,649	$ 17,652
Concentration risk, percentage									92.90%	92.60%	93.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues									$ 4,931	$ 2,768	$ 1,047
Concentration risk, percentage									4.90%	5.20%	5.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues									$ 2,298	$ 1,184	$ 151
Concentration risk, percentage									2.20%	2.20%	0.80%
Home Health [Member]
Net service revenues									$ 16,245	$ 14,462	$ 6,856
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues									$ 16,245	$ 14,462	$ 6,856
Concentration risk, percentage									100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues									$ 12,765	$ 11,218	$ 6,034
Concentration risk, percentage									78.60%	77.60%	88.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues									$ 3,188	$ 2,942	$ 752
Concentration risk, percentage									19.60%	20.30%	11.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues									$ 292	$ 302	$ 70
Concentration risk, percentage									1.80%	2.10%	1.00%

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