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Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Net service revenues | $ 289,787 | $ 270,721 | $ 857,455 | $ 782,300
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member] |  |  |  |
Concentration risk, percentage | 38.60% | 38.90% | 38.50% | 39.20%
Personal Care [Member] |  |  |  |
Net service revenues | $ 215,433 | $ 201,882 | $ 636,253 | $ 590,227
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] |  |  |  |
Net service revenues | $ 215,433 | $ 201,882 | $ 636,253 | $ 590,227
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 | $ 111,916 | $ 105,206 | $ 330,265 | $ 306,711
Concentration risk, percentage | 51.90% | 52.10% | 51.90% | 52.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member] |  |  |  |
Net service revenues | $ 28,962 | $ 28,347 | $ 86,573 | $ 84,969
Concentration risk, percentage | 13.40% | 14.00% | 13.60% | 14.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member] |  |  |  |
Net service revenues | $ 21,406 | $ 22,989 | $ 68,239 | $ 68,910
Concentration risk, percentage | 9.90% | 11.40% | 10.70% | 11.70%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member] |  |  |  |
Net service revenues | $ 53,149 | $ 45,340 | $ 151,176 | $ 129,637
Concentration risk, percentage | 24.80% | 22.50% | 23.80% | 22.00%
Hospice [Member] |  |  |  |
Net service revenues | $ 57,309 | $ 53,121 | $ 169,202 | $ 152,414
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] |  |  |  |
Net service revenues | $ 57,309 | $ 53,121 | $ 169,202 | $ 152,414
Concentration risk, percentage | 100.00% | 100.00% | 100.00% | 100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member] |  |  |  |
Net service revenues | $ 21,531 | $ 18,916 | $ 62,400 | $ 55,363
Concentration risk, percentage | 37.60% | 35.60% | 36.90% | 36.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member] |  |  |  |
Net service revenues | $ 13,289 | $ 12,477 | $ 38,544 | $ 34,750
Concentration risk, percentage | 23.20% | 23.50% | 22.80% | 22.80%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member] |  |  |  |
Net service revenues | $ 6,951 | $ 7,619 | $ 21,361 | $ 23,688
Concentration risk, percentage | 12.10% | 14.30% | 12.60% | 15.50%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member] |  |  |  |
Net service revenues | $ 15,538 | $ 14,109 | $ 46,897 | $ 38,613
Concentration risk, percentage | 27.10% | 26.60% | 27.70% | 25.40%
Home Health [Member] |  |  |  |
Net service revenues | $ 17,045 | $ 15,718 | $ 52,000 | $ 39,659
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] |  |  |  |
Net service revenues | $ 17,045 | $ 15,718 | $ 52,000 | $ 39,659
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 | $ 2,413 | $ 2,909 | $ 8,397 | $ 9,539
Concentration risk, percentage | 14.20% | 18.50% | 16.10% | 24.10%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member] |  |  |  |
Net service revenues | $ 8,090 | $ 8,040 | $ 24,166 | $ 25,277
Concentration risk, percentage | 47.40% | 51.20% | 46.50% | 63.70%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Tennessee |  |  |  |
Net service revenues | $ 6,542 | $ 4,769 | $ 19,437 | $ 4,843
Concentration risk, percentage | 38.40% | 30.30% | 37.40% | 12.20%

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