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Significant Payors (Revenue by Geographic Location) (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
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	38.90%	37.40%	37.40%	37.50%
Personal Care [Member]
Net service revenues	$ 176,267	$ 156,268	$ 341,135	$ 316,933
Personal Care [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 84,788	$ 69,052	$ 158,172	$ 140,598
Concentration risk, percentage	48.00%	44.20%	46.30%	44.40%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 25,535	$ 27,244	$ 53,110	$ 59,082
Concentration risk, percentage	14.50%	17.40%	15.60%	18.60%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 25,484	$ 21,831	$ 49,077	$ 42,525
Concentration risk, percentage	14.50%	14.00%	14.40%	13.40%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 40,460	$ 38,141	$ 80,776	$ 74,728
Concentration risk, percentage	23.00%	24.40%	23.70%	23.60%
Hospice [Member]
Net service revenues	$ 36,909	$ 24,525	$ 73,003	$ 49,737
Hospice [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 8,717	$ 11,443	$ 17,948	$ 22,452
Concentration risk, percentage	23.60%	46.70%	24.60%	45.10%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 13,498	$ 13,082	$ 26,247	$ 27,285
Concentration risk, percentage	36.60%	53.30%	36.00%	54.90%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 14,694		$ 28,808
Concentration risk, percentage	39.80%		39.40%
Home Health [Member]
Net service revenues	$ 4,717	$ 3,783	$ 9,057	$ 8,122
Home Health [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 4,717	$ 3,783	$ 9,057	$ 8,122
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%

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