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Significant Payors (Revenue by Geographic Location) (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
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	44.50%	44.30%	44.90%	43.50%
Personal Care [Member]
Net service revenues	$ 201,882	$ 179,180	$ 590,227	$ 523,142
Personal Care [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 105,206	$ 92,804	$ 306,711	$ 266,284
Concentration risk, percentage	52.10%	51.80%	52.00%	50.90%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 28,347	$ 26,912	$ 84,969	$ 78,825
Concentration risk, percentage	14.00%	15.00%	14.30%	15.10%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 22,989	$ 20,997	$ 68,910	$ 63,510
Concentration risk, percentage	11.40%	11.70%	11.70%	12.10%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 45,340	$ 38,467	$ 129,637	$ 114,523
Concentration risk, percentage	22.50%	21.50%	22.00%	21.90%
Hospice [Member]
Net service revenues	$ 53,121	$ 51,359	$ 152,414	$ 151,160
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 53,121	$ 51,359	$ 152,414	$ 151,160
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 18,916	$ 18,139	$ 55,363	$ 51,714
Concentration risk, percentage	35.60%	35.30%	36.30%	34.20%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 12,477	$ 12,188	$ 34,750	$ 35,290
Concentration risk, percentage	23.50%	23.70%	22.80%	23.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 7,619	$ 7,789	$ 23,688	$ 23,867
Concentration risk, percentage	14.30%	15.20%	15.50%	15.80%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 14,109	$ 13,243	$ 38,612	$ 40,289
Concentration risk, percentage	26.60%	25.80%	25.40%	26.70%
Home Health [Member]
Net service revenues	$ 15,718	$ 9,956	$ 39,659	$ 29,768
Home Health [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 2,909	$ 1,581	$ 9,539	$ 4,814
Concentration risk, percentage	18.50%	15.90%	24.10%	16.20%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 8,040	$ 8,375	$ 25,277	$ 24,954
Concentration risk, percentage	51.20%	84.10%	63.70%	83.80%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Tennessee [Member]
Net service revenues	$ 4,769		$ 4,843
Concentration risk, percentage	30.30%		12.20%

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