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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Net service revenues	$ 259,980	$ 236,940	$ 511,579	$ 463,574
Personal Care [Member]
Net service revenues	198,314	174,330	388,346	343,962
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 198,314	$ 174,330	$ 388,346	$ 343,962
Concentration risk, percentage	100.00%	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	$ 100,399	$ 85,462	$ 195,721	$ 169,370
Concentration risk, percentage	50.60%	49.00%	50.40%	49.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 91,276	$ 80,577	$ 179,176	$ 157,967
Concentration risk, percentage	46.00%	46.20%	46.10%	45.90%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 4,137	$ 4,610	$ 8,363	$ 9,236
Concentration risk, percentage	2.20%	2.70%	2.20%	2.70%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 1,637	$ 2,093	$ 3,306	$ 4,117
Concentration risk, percentage	0.80%	1.20%	0.90%	1.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 865	$ 1,588	$ 1,781	$ 3,272
Concentration risk, percentage	0.40%	0.90%	0.40%	1.00%
Hospice [Member]
Net service revenues	$ 50,210	$ 52,074	$ 99,292	$ 99,801
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 50,210	$ 52,074	$ 99,293	$ 99,801
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 45,566	$ 47,152	$ 90,122	$ 90,637
Concentration risk, percentage	90.70%	90.50%	90.80%	90.80%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,567	$ 1,968	$ 3,214	$ 3,683
Concentration risk, percentage	3.10%	3.80%	3.20%	3.70%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,726	$ 2,726	$ 5,273	$ 4,970
Concentration risk, percentage	5.40%	5.20%	5.30%	5.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 352	$ 228	$ 684	$ 511
Concentration risk, percentage	0.80%	0.50%	0.70%	0.50%
Home Health [Member]
Net service revenues	$ 11,456	$ 10,536	$ 23,941	$ 19,811
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 11,456	$ 10,536	$ 23,941	$ 19,811
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 8,716	$ 7,592	$ 17,988	$ 14,404
Concentration risk, percentage	76.10%	72.10%	75.10%	72.70%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 2,251	$ 2,262	$ 4,789	$ 4,166
Concentration risk, percentage	19.60%	21.50%	20.00%	21.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 489	$ 682	$ 1,164	$ 1,241
Concentration risk, percentage	4.30%	6.40%	4.90%	6.30%

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