XML 56 R46.htm IDEA: XBRL DOCUMENT v3.23.3
Government Actions to Mitigate COVID-19's Impact (Narrative) (Details) - USD ($)
 1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended 23 Months Ended
Jul. 01, 2022
Mar. 11, 2021
Jan. 31, 2022
Sep. 30, 2023
Sep. 30, 2022
Jun. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Mar. 31, 2022
Unusual Risk Or Uncertainty [Line Items]                    
Net service revenues       $ 270,721,000 $ 240,495,000   $ 782,300,000 $ 704,070,000    
Hospice [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Net service revenues       53,121,000 51,359,000   152,414,000 151,160,000    
Home Health [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Net service revenues       15,718,000 9,956,000   39,659,000 29,768,000    
Personal Care [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Net service revenues       201,882,000 $ 179,180,000   590,227,000 523,142,000    
CARES Act [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Percentage of reduced payments to Medicare providers 2.00%                 2.00%
Reduction percentage on sequestration adjustment           1.00%        
CARES Act [Member] | Hospice [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Net service revenues               1,400,000    
CARES Act [Member] | Home Health [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Net service revenues               $ 300,000    
ARPA [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Relief funding to mitigate fiscal effects of COVID-19   $ 350,000,000,000                
percentage point increase in federal matching funds                 10.00%  
Deferred portion of spending plans       7,800,000     7,800,000      
Aggregate principal amount of grants received       1,800,000     1,800,000      
Fund distributed to primarily for caregivers and retention efforts       $ 2,100     6,900      
Cost of revenue             200,000      
Aggregate funding amount             $ 2,000,000      
PAYGO Act [Member]                    
Unusual Risk Or Uncertainty [Line Items]                    
Percentage of additional payment reduction     4.00%