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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020	Sep. 30, 2021	Sep. 30, 2020
Net service revenues	$ 216,662	$ 193,987	$ 639,857	$ 568,779
Personal Care [Member]
Net service revenues	169,609	165,916	510,744	482,849
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 169,609	$ 165,916	$ 510,744	$ 482,849
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	$ 83,821	$ 85,344	$ 253,052	$ 242,751
Concentration risk, percentage	49.50%	51.50%	49.50%	50.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 76,890	$ 71,700	$ 231,211	$ 213,087
Concentration risk, percentage	45.30%	43.20%	45.30%	44.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 4,934	$ 5,193	$ 14,883	$ 15,449
Concentration risk, percentage	2.90%	3.10%	2.90%	3.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,459	$ 2,498	$ 7,481	$ 7,468
Concentration risk, percentage	1.40%	1.50%	1.50%	1.50%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 1,505	$ 1,181	$ 4,117	$ 4,094
Concentration risk, percentage	0.90%	0.70%	0.80%	0.90%
Hospice [Member]
Net service revenues	$ 39,095	$ 23,986	$ 112,098	$ 73,723
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 39,095	$ 23,986	$ 112,098	$ 73,723
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 36,278	$ 22,404	$ 104,715	$ 68,372
Concentration risk, percentage	92.80%	93.40%	93.40%	92.80%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,514	$ 1,130	$ 4,396	$ 3,710
Concentration risk, percentage	3.90%	4.70%	3.90%	5.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 1,303	$ 452	$ 2,987	$ 1,641
Concentration risk, percentage	3.30%	1.90%	2.70%	2.20%
Home Health [Member]
Net service revenues	$ 7,958	$ 4,085	$ 17,015	$ 12,207
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 7,958	$ 4,085	$ 17,015	$ 12,207
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	$ 6,372	$ 3,188	$ 13,699	$ 9,667
Concentration risk, percentage	80.10%	78.00%	80.50%	79.20%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,218	$ 829	$ 2,838	$ 2,325
Concentration risk, percentage	15.30%	20.30%	16.70%	19.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 368	$ 68	$ 478	$ 215
Concentration risk, percentage	4.60%	1.70%	2.80%	1.80%

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