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Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Net service revenues	$ 240,495	$ 216,662	$ 704,070	$ 639,857
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	44.30%	37.80%	43.50%	37.50%
Personal Care [Member]
Net service revenues	$ 179,180	$ 169,609	$ 523,142	$ 510,744
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 179,180	$ 169,609	$ 523,142	$ 510,744
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	$ 92,804	$ 81,959	$ 266,284	$ 240,131
Concentration risk, percentage	51.80%	48.30%	50.90%	47.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 26,912	$ 24,214	$ 78,825	$ 73,291
Concentration risk, percentage	15.00%	14.30%	15.10%	14.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 20,997	$ 24,127	$ 63,510	$ 77,237
Concentration risk, percentage	11.70%	14.20%	12.10%	15.10%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 38,467	$ 39,309	$ 114,523	$ 120,085
Concentration risk, percentage	21.50%	23.20%	21.90%	23.60%
Hospice [Member]
Net service revenues	$ 51,359	$ 39,095	$ 151,160	$ 112,098
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 51,359	$ 39,095	$ 151,160	$ 112,098
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 18,139	$ 15,868	$ 51,714	$ 44,676
Concentration risk, percentage	35.30%	40.60%	34.20%	39.80%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 12,188		$ 35,290
Concentration risk, percentage	23.70%		23.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 7,789	$ 9,268	$ 23,867	$ 27,216
Concentration risk, percentage	15.20%	23.70%	15.80%	24.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 13,243	$ 13,959	$ 40,289	$ 40,206
Concentration risk, percentage	25.80%	35.70%	26.70%	35.90%
Home Health [Member]
Net service revenues	$ 9,956	$ 7,958	$ 29,768	$ 17,015
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 9,956	$ 7,958	$ 29,768	$ 17,015
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	$ 1,581		$ 4,814
Concentration risk, percentage	15.90%		16.20%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 8,375	$ 7,958	$ 24,954	$ 17,015
Concentration risk, percentage	84.10%	100.00%	83.80%	100.00%

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