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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Disaggregation of Revenue [Line Items]
Net service revenues	$ 1,154,599	$ 1,058,651	$ 951,120
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 856,581	$ 794,718	$ 706,507
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]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 456,885	$ 400,753	$ 348,234
Concentration risk, percentage	53.30%	50.40%	49.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 376,604	$ 367,557	$ 326,778
Concentration risk, percentage	44.00%	46.20%	46.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 15,589	$ 16,268	$ 18,301
Concentration risk, percentage	1.80%	2.00%	2.60%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 5,593	$ 6,321	$ 7,689
Concentration risk, percentage	0.70%	0.80%	1.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 1,910	$ 3,819	$ 5,505
Concentration risk, percentage	0.20%	0.60%	0.70%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 228,191	$ 207,155	$ 201,772
Concentration risk, percentage	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 208,099	$ 186,317	$ 183,407
Concentration risk, percentage	91.20%	89.90%	90.90%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 7,603	$ 7,037	$ 7,353
Concentration risk, percentage	3.30%	3.40%	3.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 12,489	$ 13,801	$ 11,012
Concentration risk, percentage	5.50%	6.70%	5.50%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 69,827	$ 56,778	$ 42,841
Concentration risk, percentage	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 48,562	$ 41,078	$ 31,505
Concentration risk, percentage	69.50%	72.30%	73.50%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 17,603	$ 12,613	$ 8,698
Concentration risk, percentage	25.20%	22.20%	20.30%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Disaggregation of Revenue [Line Items]
Net service revenues	$ 3,662	$ 3,087	$ 2,638
Concentration risk, percentage	5.30%	5.50%	6.20%

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