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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Net service revenues | $ 864,499 | $ 764,775 | $ 648,791
Personal Care [Member] |  |  |
Net service revenues | 685,854 | 647,233 | 580,728
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |
Net service revenues | $ 685,854 | $ 647,233 | $ 580,728
Concentration risk, percentage | 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 | $ 338,325 | $ 324,670 | $ 303,479
Concentration risk, percentage | 49.30% | 50.20% | 52.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 311,801 | $ 287,032 | $ 239,559
Concentration risk, percentage | 45.50% | 44.30% | 41.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member] |  |  |
Net service revenues | $ 19,991 | $ 20,398 | $ 21,765
Concentration risk, percentage | 2.90% | 3.20% | 3.70%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member] |  |  |
Net service revenues | $ 9,820 | $ 9,991 | $ 9,204
Concentration risk, percentage | 1.40% | 1.50% | 1.60%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 5,917 | $ 5,142 | $ 6,721
Concentration risk, percentage | 0.90% | 0.80% | 1.20%
Hospice [Member] |  |  |
Net service revenues | $ 152,253 | $ 101,297 | $ 53,601
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |
Net service revenues | $ 152,253 | $ 101,297 | $ 53,601
Concentration risk, percentage | 100.00% | 100.00% | 100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |
Net service revenues | $ 142,086 | $ 94,068 | $ 49,649
Concentration risk, percentage | 93.30% | 92.90% | 92.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 5,664 | $ 4,931 | $ 2,768
Concentration risk, percentage | 3.70% | 4.90% | 5.20%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 4,503 | $ 2,298 | $ 1,184
Concentration risk, percentage | 3.00% | 2.20% | 2.20%
Home Health [Member] |  |  |
Net service revenues | $ 26,392 | $ 16,245 | $ 14,462
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |
Net service revenues | $ 26,392 | $ 16,245 | $ 14,462
Concentration risk, percentage | 100.00% | 100.00% | 100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |
Net service revenues | $ 20,700 | $ 12,765 | $ 11,218
Concentration risk, percentage | 78.40% | 78.60% | 77.60%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 4,457 | $ 3,188 | $ 2,942
Concentration risk, percentage | 16.90% | 19.60% | 20.30%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 1,235 | $ 292 | $ 302
Concentration risk, percentage | 4.70% | 1.80% | 2.10%

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