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Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2022	Jun. 30, 2021	Jun. 30, 2022	Jun. 30, 2021
Net service revenues	$ 236,940	$ 217,893	$ 463,574	$ 423,195
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	43.80%	38.90%	41.60%	37.40%
Personal Care [Member]
Net service revenues	$ 174,330	$ 176,267	$ 343,962	$ 341,135
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 174,330	$ 176,267	$ 343,962	$ 341,135
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	$ 88,797	$ 84,788	$ 173,480	$ 158,172
Concentration risk, percentage	50.90%	48.00%	50.40%	46.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 21,127	$ 25,535	$ 42,513	$ 53,110
Concentration risk, percentage	12.10%	14.50%	12.40%	15.60%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 26,473	$ 25,484	$ 51,912	$ 49,077
Concentration risk, percentage	15.20%	14.50%	15.10%	14.40%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 37,933	$ 40,460	$ 76,057	$ 80,776
Concentration risk, percentage	21.80%	23.00%	22.10%	23.70%
Hospice [Member]
Net service revenues	$ 52,074	$ 36,909	$ 99,801	$ 73,003
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 52,074	$ 36,909	$ 99,801	$ 73,003
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 13,561		$ 16,078
Concentration risk, percentage	26.00%		16.10%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 7,846	$ 8,717	$ 23,102	$ 17,948
Concentration risk, percentage	15.10%	23.60%	23.10%	24.60%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 13,422	$ 13,498	$ 27,047	$ 26,247
Concentration risk, percentage	25.80%	36.60%	27.10%	36.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 17,245	$ 14,694	$ 33,574	$ 28,808
Concentration risk, percentage	33.10%	39.80%	33.70%	39.40%
Home Health [Member]
Net service revenues	$ 10,536	$ 4,717	$ 19,811	$ 9,057
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 10,536	$ 4,717	$ 19,811	$ 9,057
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 1,466		$ 3,232
Concentration risk, percentage	13.90%		16.30%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 9,070	$ 4,717	$ 16,579	$ 9,057
Concentration risk, percentage	86.10%	100.00%	83.70%	100.00%

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