Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Net service revenues	$ 226,634	$ 205,302
Personal Care [Member]
Net service revenues	169,632	164,868
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 169,632	$ 164,868
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	$ 83,908	$ 80,849
Concentration risk, percentage	49.50%	49.00%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 77,390	$ 75,456
Concentration risk, percentage	45.60%	45.80%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 4,626	$ 4,903
Concentration risk, percentage	2.70%	3.00%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,024	$ 2,346
Concentration risk, percentage	1.20%	1.40%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 1,684	$ 1,314
Concentration risk, percentage	1.00%	0.80%
Hospice [Member]
Net service revenues	$ 47,727	$ 36,094
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 47,727	$ 36,094
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,715	$ 1,487
Concentration risk, percentage	3.60%	4.10%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,244	$ 533
Concentration risk, percentage	4.70%	1.50%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 283	$ 89
Concentration risk, percentage	0.60%	0.20%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare
Net service revenues	$ 43,485	$ 33,985
Concentration risk, percentage	91.10%	94.20%
Home Health [Member]
Net service revenues	$ 9,275	$ 4,340
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 9,275	$ 4,340
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,904	$ 798
Concentration risk, percentage	20.50%	18.40%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 559	$ 40
Concentration risk, percentage	6.10%	0.90%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare
Net service revenues	$ 6,812	$ 3,502
Concentration risk, percentage	73.40%	80.70%