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Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Net service revenues	$ 1,154,599	$ 1,058,651	$ 951,120
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	43.70%	44.50%	43.80%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 856,581	$ 794,718	$ 706,507
Concentration risk, percentage	100.00%	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 441,012	$ 411,081	$ 360,778
Concentration risk, percentage	51.50%	51.70%	51.10%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 71,763	$ 92,469	$ 86,592
Concentration risk, percentage	8.40%	11.60%	12.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 115,381	$ 115,986	$ 105,315
Concentration risk, percentage	13.50%	14.60%	14.90%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 228,425	$ 175,182	$ 153,822
Concentration risk, percentage	26.60%	22.10%	21.70%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 228,191	$ 207,155	$ 201,772
Concentration risk, percentage	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 84,811	$ 74,871	$ 70,503
Concentration risk, percentage	37.20%	36.10%	35.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 52,560	$ 47,247	$ 47,181
Concentration risk, percentage	23.00%	22.80%	23.40%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 28,532	$ 30,782	$ 30,722
Concentration risk, percentage	12.50%	14.90%	15.20%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 62,288	$ 54,255	$ 53,366
Concentration risk, percentage	27.30%	26.20%	26.40%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 69,827	$ 56,778	$ 42,841
Concentration risk, percentage	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 10,564	$ 12,851	$ 8,730
Concentration risk, percentage	15.10%	22.60%	20.40%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 32,766	$ 32,949	$ 34,111
Concentration risk, percentage	46.90%	58.00%	79.60%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Tennessee [Member]
Net service revenues	$ 26,497	$ 10,978
Concentration risk, percentage	38.00%	19.40%

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