Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Net service revenues	$ 251,599	$ 226,634
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	39.10%	37.40%
Personal Care [Member]
Net service revenues	$ 190,032	$ 169,632
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 190,032	$ 169,632
Concentration risk, percentage	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 98,414	$ 84,693
Concentration risk, percentage	51.80%	49.90%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 28,474	$ 25,440
Concentration risk, percentage	15.00%	15.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 21,885	$ 21,385
Concentration risk, percentage	11.50%	12.60%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 41,259	$ 38,114
Concentration risk, percentage	21.70%	22.50%
Hospice [Member]
Net service revenues	$ 49,082	$ 47,727
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 49,082	$ 47,727
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 18,451	$ 16,328
Concentration risk, percentage	37.60%	34.20%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 11,480	$ 9,541
Concentration risk, percentage	23.40%	20.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 6,486	$ 8,233
Concentration risk, percentage	13.20%	17.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 12,665	$ 13,625
Concentration risk, percentage	25.80%	28.50%
Home Health [Member]
Net service revenues	$ 12,485	$ 9,275
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 12,485	$ 9,275
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 3,369	$ 1,766
Concentration risk, percentage	27.00%	19.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 9,116	$ 7,509
Concentration risk, percentage	73.00%	81.00%