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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Net service revenues	$ 217,893	$ 184,576	$ 423,195	$ 374,792
Personal Care [Member]
Net service revenues	176,267	156,268	341,135	316,933
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 176,267	$ 156,268	$ 341,135	$ 316,933
Concentration risk, percentage	100.00%	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	$ 88,382	$ 78,054	$ 169,231	$ 157,398
Concentration risk, percentage	50.20%	50.00%	49.60%	49.70%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 78,865	$ 69,282	$ 154,321	$ 141,393
Concentration risk, percentage	44.70%	44.30%	45.20%	44.60%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 5,046	$ 4,986	$ 9,949	$ 10,257
Concentration risk, percentage	2.90%	3.20%	2.90%	3.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,676	$ 2,394	$ 5,022	$ 4,970
Concentration risk, percentage	1.50%	1.50%	1.50%	1.60%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 1,298	$ 1,552	$ 2,612	$ 2,915
Concentration risk, percentage	0.70%	1.00%	0.80%	0.90%
Hospice [Member]
Net service revenues	$ 36,909	$ 24,525	$ 73,003	$ 49,737
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 36,909	$ 24,525	$ 73,003	$ 49,737
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 34,452	$ 22,753	$ 68,437	$ 45,971
Concentration risk, percentage	93.30%	92.80%	93.80%	92.40%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,395	$ 1,198	$ 2,882	$ 2,578
Concentration risk, percentage	3.80%	4.90%	3.90%	5.20%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 1,062	$ 574	$ 1,684	$ 1,188
Concentration risk, percentage	2.90%	2.30%	2.30%	2.40%
Home Health [Member]
Net service revenues	$ 4,717	$ 3,783	$ 9,057	$ 8,122
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 4,717	$ 3,783	$ 9,057	$ 8,122
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 3,825	$ 3,010	$ 7,327	$ 6,480
Concentration risk, percentage	81.10%	79.60%	80.90%	79.80%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 822	$ 688	$ 1,620	$ 1,495
Concentration risk, percentage	17.40%	18.20%	17.90%	18.40%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 70	$ 85	$ 110	$ 147
Concentration risk, percentage	1.50%	2.20%	1.20%	1.80%

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