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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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