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Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Net service revenues | $ 1,058,651 | $ 951,120 | $ 864,499
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member] |  |  |
Concentration risk, percentage | 44.50% | 43.80% | 38.20%
Personal Care [Member] |  |  |
Net service revenues | $ 794,718 | $ 706,507 | $ 685,854
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] |  |  |
Net service revenues | $ 794,718 | $ 706,507 | $ 685,854
Concentration risk, percentage | 100.00% | 100.00% | 100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member] |  |  |
Net service revenues | $ 115,986 | $ 105,315 | $ 97,784
Concentration risk, percentage | 14.60% | 14.90% | 14.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member] |  |  |
Net service revenues | $ 411,081 | $ 360,778 | $ 328,619
Concentration risk, percentage | 51.70% | 51.10% | 47.90%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member] |  |  |
Net service revenues | $ 92,469 | $ 86,592 | $ 99,732
Concentration risk, percentage | 11.60% | 12.30% | 14.50%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member] |  |  |
Net service revenues | $ 175,182 | $ 153,822 | $ 159,719
Concentration risk, percentage | 22.10% | 21.70% | 23.30%
Hospice [Member] |  |  |
Net service revenues | $ 207,155 | $ 201,772 | $ 152,253
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] |  |  |
Net service revenues | $ 207,155 | $ 201,772 | $ 152,253
Concentration risk, percentage | 100.00% | 100.00% | 100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member] |  |  |
Net service revenues | $ 74,871 | $ 70,503 | $ 61,415
Concentration risk, percentage | 36.10% | 35.00% | 40.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member] |  |  |
Net service revenues | $ 30,782 | $ 30,722 | $ 36,063
Concentration risk, percentage | 14.90% | 15.20% | 23.70%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member] |  |  |
Net service revenues | $ 47,247 | $ 47,181 |
Concentration risk, percentage | 22.80% | 23.40% |
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member] |  |  |
Net service revenues | $ 54,255 | $ 53,366 | $ 54,775
Concentration risk, percentage | 26.20% | 26.40% | 36.00%
Home Health [Member] |  |  |
Net service revenues | $ 56,778 | $ 42,841 | $ 26,392
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] |  |  |
Net service revenues | $ 56,778 | $ 42,841 | $ 26,392
Concentration risk, percentage | 100.00% | 100.00% | 100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member] |  |  |
Net service revenues | $ 32,949 | $ 34,111 | $ 24,735
Concentration risk, percentage | 58.00% | 79.60% | 93.70%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member] |  |  |
Net service revenues | $ 12,851 | $ 8,730 | $ 1,657
Concentration risk, percentage | 22.60% | 20.40% | 6.30%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Tennessee [Member] |  |  |
Net service revenues | $ 10,978 |  |
Concentration risk, percentage | 19.40% |  |

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