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Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Net service revenues	$ 205,302	$ 190,216
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	35.80%	37.70%
Personal Care [Member]
Net service revenues	$ 164,868	$ 160,665
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 164,868	$ 160,665
Concentration risk, percentage	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 73,385	$ 71,545
Concentration risk, percentage	44.50%	44.50%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 27,575	$ 31,838
Concentration risk, percentage	16.70%	19.80%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 23,593	$ 20,694
Concentration risk, percentage	14.30%	12.90%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 40,315	$ 36,588
Concentration risk, percentage	24.50%	22.80%
Hospice [Member]
Net service revenues	$ 36,094	$ 25,212
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 36,094	$ 25,212
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 9,230	$ 11,009
Concentration risk, percentage	25.60%	43.70%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 12,750	$ 14,203
Concentration risk, percentage	35.30%	56.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 14,114
Concentration risk, percentage	39.10%
Home Health [Member]
Net service revenues	$ 4,340	$ 4,339
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 4,340	$ 4,339
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 4,340	$ 4,339
Concentration risk, percentage	100.00%	100.00%

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