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Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Net service revenues	$ 337,708	$ 280,746
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 258,286	$ 208,003
Concentration risk, percentage	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | State, Local And Other Governmental Programs [Member]
Net service revenues	$ 132,904	$ 107,754
Concentration risk, percentage	51.50%	51.80%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 117,007	$ 94,276
Concentration risk, percentage	45.30%	45.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 6,976	$ 3,906
Concentration risk, percentage	2.70%	1.90%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 1,160	$ 1,486
Concentration risk, percentage	0.40%	0.70%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 239	$ 581
Concentration risk, percentage	0.10%	0.30%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 61,437	$ 55,863
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 56,788	$ 50,652
Concentration risk, percentage	92.40%	90.70%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 2,028	$ 1,817
Concentration risk, percentage	3.30%	3.30%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,383	$ 3,134
Concentration risk, percentage	3.90%	5.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 238	$ 260
Concentration risk, percentage	0.40%	0.40%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 17,985	$ 16,880
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 12,576	$ 11,663
Concentration risk, percentage	69.90%	69.10%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 3,810	$ 4,400
Concentration risk, percentage	21.20%	26.10%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | State, Local And Other Governmental Programs (Excluding Medicare) [Member]
Net service revenues	$ 1,087	$ 26
Concentration risk, percentage	6.00%	0.20%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 512	$ 791
Concentration risk, percentage	2.90%	4.60%

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