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Segment Information (Summary of Segment Information) (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Segment Reporting Information [Line Items]    
Net service revenues $ 337,708 $ 280,746
Operating income 30,514 23,645
Depreciation and amortization 3,943 3,469
Interest income (502) (423)
Interest expense 4,018 2,758
Income before income taxes 26,998 21,310
Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Net service revenues 337,708 280,746
Direct service personnel 223,268 186,020
General and administrative salaries, wages and benefits 32,498 24,903
Other segment items 16,719 15,067
Operating income 65,223 54,756
Other general and administrative expenses 30,766 27,642
Depreciation and amortization 3,943 3,469
Interest income (502) (423)
Interest expense 4,018 2,758
Income before income taxes 26,998 21,310
Personal Care [Member] | Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Net service revenues 258,286 208,003
Direct service personnel 186,650 152,072
General and administrative salaries, wages and benefits 18,239 11,161
Other segment items 5,805 4,748
Operating income 47,592 40,022
Hospice [Member] | Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Net service revenues 61,437 55,863
Direct service personnel 26,205 23,325
General and administrative salaries, wages and benefits 10,980 10,079
Other segment items 9,635 9,002
Operating income 14,617 13,457
Home Health [Member] | Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Net service revenues 17,985 16,880
Direct service personnel 10,413 10,623
General and administrative salaries, wages and benefits 3,279 3,664
Other segment items 1,279 1,316
Operating income $ 3,014 $ 1,277