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Significant Payors (Revenue by Geographic Location) (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
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	37.80%	38.50%	37.50%	37.80%
Personal Care [Member]
Net service revenues	$ 169,609	$ 165,916	$ 510,744	$ 482,849
Personal Care [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 81,959	$ 74,448	$ 240,131	$ 215,047
Concentration risk, percentage	48.30%	44.90%	47.00%	44.60%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 24,127	$ 28,381	$ 77,237	$ 87,463
Concentration risk, percentage	14.20%	17.10%	15.10%	18.10%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 24,214	$ 21,878	$ 73,291	$ 64,402
Concentration risk, percentage	14.30%	13.20%	14.30%	13.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 39,309	$ 41,209	$ 120,085	$ 115,937
Concentration risk, percentage	23.20%	24.80%	23.60%	24.00%
Hospice [Member]
Net service revenues	$ 39,095	$ 23,986	$ 112,098	$ 73,723
Hospice [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 9,268	$ 10,979	$ 27,216	$ 33,431
Concentration risk, percentage	23.70%	45.80%	24.30%	45.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 13,959	$ 13,007	$ 40,206	$ 40,292
Concentration risk, percentage	35.70%	54.20%	35.90%	54.70%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 15,868		$ 44,676
Concentration risk, percentage	40.60%		39.80%
Home Health [Member]
Net service revenues	$ 7,958	$ 4,085	$ 17,015	$ 12,207
Home Health [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 7,958	$ 4,085	$ 17,015	$ 12,207
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%

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