Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Net service revenues	$ 205,302	$ 190,216
Personal Care [Member]
Net service revenues	164,868	160,665
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 164,868	$ 160,665
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	$ 80,849	$ 79,346
Concentration risk, percentage	49.00%	49.40%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 75,456	$ 72,110
Concentration risk, percentage	45.80%	44.90%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 4,903	$ 5,270
Concentration risk, percentage	3.00%	3.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,346	$ 2,576
Concentration risk, percentage	1.40%	1.60%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 1,314	$ 1,363
Concentration risk, percentage	0.80%	0.80%
Hospice [Member]
Net service revenues	$ 36,094	$ 25,212
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 36,094	$ 25,212
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 33,985	$ 23,219
Concentration risk, percentage	94.20%	92.10%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,487	$ 1,385
Concentration risk, percentage	4.10%	5.50%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 622	$ 608
Concentration risk, percentage	1.70%	2.40%
Home Health [Member]
Net service revenues	$ 4,340	$ 4,339
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 4,340	$ 4,339
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 3,502	$ 3,470
Concentration risk, percentage	80.70%	80.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 798	$ 807
Concentration risk, percentage	18.40%	18.60%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 40	$ 62
Concentration risk, percentage	0.90%	1.40%