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Acquisitions (Narrative) (Details) - USD ($) $ in Thousands |  |  |  |  |  |  |  | 12 Months Ended
--- | --- | --- | --- | --- | --- | --- | --- | ---
Oct. 01, 2022 | Feb. 01, 2022 | Oct. 01, 2021 | Aug. 01, 2021 | Dec. 04, 2020 | Nov. 01, 2020 | Jul. 01, 2020 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  |  |  |  | $ 98,290 | $ 37,370 | $ 207,660
Net service revenues |  |  |  |  |  |  |  | 951,120 | 864,499 | 764,775
Operating income |  |  |  |  |  |  |  | 68,737 | 65,936 | 44,507
Goodwill |  |  |  |  |  |  |  | $ 582,837 | 504,392 | 469,072
Minimum [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  |  |  | 1 year |  |
Maximum [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  |  |  | 25 years |  |
JourneyCare [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  | $ 47,200 |  |
Operating income |  |  |  |  |  |  |  | 9,100 |  |
Goodwill |  | $ 69,446 |  |  |  |  |  |  |  |
JourneyCare [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  |  |  | 4,800 |  |
Indefinite lived intangible assets acquired |  | 4,800 |  |  |  |  |  |  |  |
JourneyCare [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  | 9,000 |  |  |  |  |  | 9,000 |  |
JourneyCare [Member] | Illinois [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  | 86,600 |  |  |  |  |  |  |  |
Excess cash held by acquired business |  | 400 |  |  |  |  |  |  |  |
Integration costs |  |  |  |  |  |  |  | 4,300 |  |
Business combination finalization of net working capital payable |  | 1,600 |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  |  |  | 500 |  |
JourneyCare [Member] | Illinois [Member] | Revolving Credit Loan [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Line of credit outstanding amount |  | $ 35,000 |  |  |  |  |  |  |  |
Armada Skilled Homecare [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  | $ 28,287 |  |  |  |  |  |
Armada Skilled Homecare [Member] | Non-competition Agreements [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  | $ 600 |  |  |  |  | 600 |
Intangible assets, estimated useful lives |  |  |  | 5 years |  |  |  |  |  |
Armada Skilled Homecare [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  |  |  |  | 400 |
Indefinite lived intangible assets acquired |  |  |  | $ 400 |  |  |  |  |  |
Armada Skilled Homecare [Member] | New Mexico [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  | 29,700 |  |  |  |  |  |
Excess cash held by acquired business |  |  |  | $ 700 |  |  |  |  |  |
Acquisition related costs |  |  |  |  |  |  |  |  | 400 |
Integration costs |  |  |  |  |  |  |  |  | 500 |
Queen City Hospice [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  | $ 169,338 |  |  |  |  |
Queen City Hospice [Member] | Non-competition Agreements [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  | $ 1,500 |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 5 years |  |  |  |  |
Queen City Hospice [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired |  |  |  |  | $ 7,500 |  |  |  |  |
Queen City Hospice [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  | $ 11,000 |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 15 years |  |  |  |  |
Queen City Hospice [Member] | Ohio [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  | $ 194,800 |  |  |  |  |
Excess cash held by acquired business |  |  |  |  | $ 15,400 |  |  |  |  |
Acquisition related costs |  |  |  |  |  |  |  |  | 1,800 |
Integration costs |  |  |  |  |  |  |  |  | $ 2,200 |
County Homemakers [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  |  |  | 1,200 |  |
Goodwill |  |  |  |  |  | $ 13,502 |  |  |  |
County Homemakers [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  | $ 300 |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  | 8 years |  |  |  |
County Homemakers [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  | $ 100 |  | $ 100 |  |
Intangible assets, estimated useful lives |  |  |  |  |  | 1 year |  |  |  |
County Homemakers [Member] | Pennsylvania [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  |  | $ 15,800 |  |  |  |
Excess cash held by acquired business |  |  |  |  |  | $ 1,100 |  |  |  |
Acquisition related costs |  |  |  |  |  |  |  |  |  | 300
Integration costs |  |  |  |  |  |  |  |  |  | 200
A Plus Health Care, Inc [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  |  | $ 9,732 |  |  |
A Plus Health Care, Inc [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  |  | $ 1,400 |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  |  | 15 years |  |  |
A Plus Health Care, Inc [Member] | Montana [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  |  |  | $ 14,500 |  |  |
Excess cash held by acquired business |  |  |  |  |  |  | $ 2,800 |  |  |
Acquisition related costs |  |  |  |  |  |  |  |  |  | 400
Integration costs |  |  |  |  |  |  |  |  |  | $ 300
Apple Home [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Acquisition completed date | Oct. 01, 2022 |  |  |  |  |  |  |  |  |
Business combination consideration transferred | $ 12,700 |  |  |  |  |  |  |  |  |
Potential additional contingent consideration | 2,000 |  |  |  |  |  |  |  |  |
Goodwill | $ 8,900 |  |  |  |  |  |  |  |  |
Summit Home Health, LLC [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  | $ 8,100 |  |  |  |  |  |  |
Goodwill |  |  | $ 6,500 |  |  |  |  |  |  |

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