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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Net service revenues | $ 951,120 | $ 864,499 | $ 764,775
Personal Care [Member] |  |  |
Net service revenues | 706,507 | 685,854 | 647,233
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |
Net service revenues | $ 706,507 | $ 685,854 | $ 647,233
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 | $ 348,234 | $ 338,325 | $ 324,670
Concentration risk, percentage | 49.30% | 49.30% | 50.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 326,778 | $ 311,801 | $ 287,032
Concentration risk, percentage | 46.30% | 45.50% | 44.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member] |  |  |
Net service revenues | $ 18,301 | $ 19,991 | $ 20,398
Concentration risk, percentage | 2.60% | 2.90% | 3.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member] |  |  |
Net service revenues | $ 7,689 | $ 9,820 | $ 9,991
Concentration risk, percentage | 1.10% | 1.40% | 1.50%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 5,505 | $ 5,917 | $ 5,142
Concentration risk, percentage | 0.70% | 0.90% | 0.80%
Hospice [Member] |  |  |
Net service revenues | $ 201,772 | $ 152,253 | $ 101,297
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |
Net service revenues | $ 201,772 | $ 152,253 | $ 101,297
Concentration risk, percentage | 100.00% | 100.00% | 100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |
Net service revenues | $ 183,407 | $ 142,086 | $ 94,068
Concentration risk, percentage | 90.90% | 93.30% | 92.90%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 7,353 | $ 5,664 | $ 4,931
Concentration risk, percentage | 3.60% | 3.70% | 4.90%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 11,012 | $ 4,503 | $ 2,298
Concentration risk, percentage | 5.50% | 3.00% | 2.20%
Home Health [Member] |  |  |
Net service revenues | $ 42,841 | $ 26,392 | $ 16,245
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |
Net service revenues | $ 42,841 | $ 26,392 | $ 16,245
Concentration risk, percentage | 100.00% | 100.00% | 100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |
Net service revenues | $ 31,505 | $ 20,700 | $ 12,765
Concentration risk, percentage | 73.50% | 78.40% | 78.60%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 8,698 | $ 4,457 | $ 3,188
Concentration risk, percentage | 20.30% | 16.90% | 19.60%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 2,638 | $ 1,235 | $ 292
Concentration risk, percentage | 6.20% | 4.70% | 1.80%

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