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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Net service revenues	$ 270,721	$ 240,495	$ 782,300	$ 704,070
Personal Care [Member]
Net service revenues	201,882	179,180	590,227	523,142
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 201,882	$ 179,180	$ 590,227	$ 523,142
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	$ 101,821	$ 88,448	$ 297,541	$ 257,817
Concentration risk, percentage	50.40%	49.40%	50.40%	49.40%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 93,583	$ 83,199	$ 272,758	$ 241,164
Concentration risk, percentage	46.40%	46.40%	46.20%	46.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 3,990	$ 4,521	$ 12,354	$ 13,758
Concentration risk, percentage	2.00%	2.60%	2.10%	2.60%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 1,631	$ 1,870	$ 4,937	$ 5,988
Concentration risk, percentage	0.80%	1.00%	0.80%	1.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 856	$ 1,142	$ 2,637	$ 4,415
Concentration risk, percentage	0.40%	0.60%	0.50%	0.80%
Hospice [Member]
Net service revenues	$ 53,121	$ 51,359	$ 152,414	$ 151,160
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 53,121	$ 51,359	$ 152,414
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 47,313	$ 46,537	$ 137,432	$ 137,174
Concentration risk, percentage	89.10%	90.60%	90.20%	90.80%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,808	$ 1,815	$ 5,022	$ 5,498
Concentration risk, percentage	3.40%	3.50%	3.30%	3.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 3,640	$ 2,772	$ 8,916	$ 7,742
Concentration risk, percentage	6.80%	5.40%	5.80%	5.10%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 360	$ 235	$ 1,044	$ 746
Concentration risk, percentage	0.70%	0.50%	0.70%	0.50%
Home Health [Member]
Net service revenues	$ 15,718	$ 9,956	$ 39,659	$ 29,768
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 15,718	$ 9,956	$ 39,659	$ 29,768
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	$ 11,325	$ 7,320	$ 29,306	$ 21,727
Concentration risk, percentage	72.10%	73.50%	73.90%	73.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 3,445	$ 1,998	$ 8,239	$ 6,160
Concentration risk, percentage	21.90%	20.10%	20.80%	20.70%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 948	$ 638	$ 2,114	$ 1,881
Concentration risk, percentage	6.00%	6.40%	5.30%	6.30%

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