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Significant Payors (Revenue by Payor Type) (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
Personal Care [Member] |  |  |
Net service revenues | 794,718 | 706,507 | 685,854
Personal Care [Member] | Revenues [Member] | Customer 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] | Customer Concentration Risk [Member] | State, Local And Other Governmental Programs [Member] |  |  |
Net service revenues | $ 400,753 | $ 348,234 | $ 338,325
Concentration risk, percentage | 50.40% | 49.30% | 49.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 367,557 | $ 326,778 | $ 311,801
Concentration risk, percentage | 46.20% | 46.30% | 45.50%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member] |  |  |
Net service revenues | $ 16,268 | $ 18,301 | $ 19,991
Concentration risk, percentage | 2.00% | 2.60% | 2.90%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member] |  |  |
Net service revenues | $ 6,321 | $ 7,689 | $ 9,820
Concentration risk, percentage | 0.80% | 1.10% | 1.40%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 3,819 | $ 5,505 | $ 5,917
Concentration risk, percentage | 0.60% | 0.70% | 0.90%
Hospice [Member] |  |  |
Net service revenues | $ 207,155 | $ 201,772 | $ 152,253
Hospice [Member] | Revenues [Member] | Customer 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] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |
Net service revenues | $ 186,317 | $ 183,407 | $ 142,086
Concentration risk, percentage | 89.90% | 90.90% | 93.30%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 7,037 | $ 7,353 | $ 5,664
Concentration risk, percentage | 3.40% | 3.60% | 3.70%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 13,801 | $ 11,012 | $ 4,503
Concentration risk, percentage | 6.70% | 5.50% | 3.00%
Home Health [Member] |  |  |
Net service revenues | $ 56,778 | $ 42,841 | $ 26,392
Home Health [Member] | Revenues [Member] | Customer 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] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |
Net service revenues | $ 41,078 | $ 31,505 | $ 20,700
Concentration risk, percentage | 72.30% | 73.50% | 78.40%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |
Net service revenues | $ 12,613 | $ 8,698 | $ 4,457
Concentration risk, percentage | 22.20% | 20.30% | 16.90%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |
Net service revenues | $ 3,087 | $ 2,638 | $ 1,235
Concentration risk, percentage | 5.50% | 6.20% | 4.70%

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