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Acquisitions (Narrative) (Details) - USD ($) $ in Thousands |  |  |  |  |  |  | 12 Months Ended
--- | --- | --- | --- | --- | --- | --- | ---
Aug. 01, 2023 | Jan. 01, 2023 | Oct. 01, 2022 | Feb. 01, 2022 | Oct. 01, 2021 | Aug. 01, 2021 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  | $ 1,058,651 | $ 951,120 | $ 864,499
Operating income |  |  |  |  |  |  | 90,956 | 68,737 | 65,936
Goodwill |  |  |  |  |  |  | 662,995 | 582,837 | 504,392
Tennessee Quality Care [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  | 16,300 |  |
Operating income |  |  |  |  |  |  | 3,000 |  |
Goodwill | $ 79,346 |  |  |  |  |  |  |  |
Tennessee Quality Care [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired | 7,500 |  |  |  |  |  |  |  |
Tennessee Quality Care [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired | 19,200 |  |  |  |  |  |  |  |
Tennessee Quality Care [Member] | Tennessee [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition | 111,200 |  |  |  |  |  |  |  |
Acquisition related costs |  |  |  |  |  |  | 2,100 |  |
Integration costs |  |  |  |  |  |  | $ 1,000 |  |
Excess cash held by acquired business | 2,400 |  |  |  |  |  |  |  |
Tennessee Quality Care [Member] | Tennessee [Member] | Revolving Credit Facility [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Line of credit outstanding amount | $ 110,000 |  |  |  |  |  |  |  |
JourneyCare [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  | 47,200 |
Operating income |  |  |  |  |  |  |  | 9,100 |
Goodwill |  |  |  | $ 69,446 |  |  |  |  |
JourneyCare [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  | 9,000 |  |  |  | 9,000 |
JourneyCare [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired |  |  |  | 4,800 |  |  |  | 4,800 |
JourneyCare [Member] | Illinois [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  | 86,600 |  |  |  |  |
Business combination finalization of net working capital payable |  |  |  | 1,600 |  |  |  |  |
Acquisition related costs |  |  |  |  |  |  |  | 500 |
Integration costs |  |  |  |  |  |  |  | 4,300 |
Excess cash held by acquired business |  |  |  | 400 |  |  |  |  |
JourneyCare [Member] | Illinois [Member] | Revolving Credit Facility [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Line of credit outstanding amount |  |  |  | $ 35,000 |  |  |  |  |
Armada Skilled Homecare [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  | $ 28,287 |  |  |
Armada Skilled Homecare [Member] | Non-competition Agreements [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  | $ 600 |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  | 5 years |  |  |
Armada Skilled Homecare [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired |  |  |  |  |  | $ 400 |  |  |
Armada Skilled Homecare [Member] | New Mexico [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  |  | 29,700 |  |  |
Acquisition related costs |  |  |  |  |  |  |  |  | 400
Integration costs |  |  |  |  |  |  |  |  | $ 500
Excess cash held by acquired business |  |  |  |  |  | $ 700 |  |  |
Apple Home [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Acquisition completed date |  |  | Oct. 01, 2022 |  |  |  |  |  |
Business combination consideration transferred |  |  | $ 12,700 |  |  |  |  |  |
Potential additional contingent consideration |  |  | 2,000 |  |  |  |  |  |
Goodwill |  |  | $ 8,900 |  |  |  |  |  |
Apple Home [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  |  |  | 100 |
Apple Home [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired |  |  |  |  |  |  |  | $ 1,200 |
CareStaff [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Business combination consideration transferred |  | $ 1,000 |  |  |  |  |  |  |
Goodwill |  | $ 600 |  |  |  |  |  |  |
Summit Home Health, LLC [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Business combination consideration transferred |  |  |  |  | $ 8,100 |  |  |  |
Goodwill |  |  |  |  | $ 6,500 |  |  |  |

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