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Significant Payors (Revenue by Geographic Location) (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
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage									37.70%	38.20%	45.00%
Personal Care [Member]
Net service revenues									$ 647,233	$ 580,728	$ 490,941
Personal Care [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues									$ 288,326	$ 247,524	$ 232,518
Concentration risk, percentage									44.60%	42.60%	47.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues									$ 115,510	$ 108,403	$ 65,117
Concentration risk, percentage									17.80%	18.70%	13.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues									$ 86,618	$ 75,666	$ 58,914
Concentration risk, percentage									13.40%	13.00%	12.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues									$ 156,779	$ 149,135	$ 134,392
Concentration risk, percentage									24.20%	25.70%	27.40%
Hospice [Member]
Net service revenues									$ 101,297	$ 53,601	$ 18,850
Hospice [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues									$ 42,648	$ 38,790	$ 18,850
Concentration risk, percentage									42.10%	72.40%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues									$ 58,649	$ 14,811
Concentration risk, percentage									57.90%	27.60%
Home Health [Member]
Net service revenues									$ 16,245	$ 14,462	$ 6,856
Home Health [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues									$ 16,245	$ 14,462	$ 6,856
Concentration risk, percentage									100.00%	100.00%	100.00%

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