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Significant Payors (Narrative) (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Concentration Risk [Line Items] |  |  |
Net service revenues | $ 951,120 | $ 864,499 | $ 764,775
Operating income | 68,737 | $ 65,936 | $ 44,507
New York [Member] | CDPAP |  |  |
Concentration Risk [Line Items] |  |  |
Net service revenues | $ 39,200 |  |
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member] |  |  |
Concentration Risk [Line Items] |  |  |
Concentration risk, percentage | 43.80% | 38.20% | 37.70%
Revenues [Member] | Illinois Department On Aging [Member] | Illinois [Member] |  |  |
Concentration Risk [Line Items] |  |  |
Concentration risk, percentage | 20.70% | 21.40% | 23.00%
Accounts Receivable [Member] | Illinois Department On Aging [Member] | Illinois [Member] |  |  |
Concentration Risk [Line Items] |  |  |
Concentration risk, percentage | 18.00% | 16.10% |

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