Acquisitions (Narrative) (Details) - USD ($) $ in Thousands								12 Months Ended
	Oct. 01, 2022	Feb. 01, 2022	Oct. 01, 2021	Aug. 01, 2021	Dec. 04, 2020	Nov. 01, 2020	Jul. 01, 2020	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Business Acquisition [Line Items]
Total purchase price for business acquisition								$ 98,290	$ 37,370	$ 207,660
Net service revenues								951,120	864,499	764,775
Operating income								68,737	65,936	44,507
Goodwill								$ 582,837	504,392	469,072
Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives								1 year
Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives								25 years
JourneyCare [Member]
Business Acquisition [Line Items]
Net service revenues								$ 47,200
Operating income								9,100
Goodwill		$ 69,446
JourneyCare [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired								4,800
Indefinite lived intangible assets acquired		4,800
JourneyCare [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired		9,000						9,000
JourneyCare [Member] | Illinois [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		86,600
Excess cash held by acquired business		400
Integration costs								4,300
Business combination finalization of net working capital payable		1,600
Identifiable intangible assets acquired								500
JourneyCare [Member] | Illinois [Member] | Revolving Credit Loan [Member]
Business Acquisition [Line Items]
Line of credit outstanding amount		$ 35,000
Armada Skilled Homecare [Member]
Business Acquisition [Line Items]
Goodwill				$ 28,287
Armada Skilled Homecare [Member] | Non-competition Agreements [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired				$ 600					600
Intangible assets, estimated useful lives				5 years
Armada Skilled Homecare [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired									400
Indefinite lived intangible assets acquired				$ 400
Armada Skilled Homecare [Member] | New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition				29,700
Excess cash held by acquired business				$ 700
Acquisition related costs									400
Integration costs									500
Queen City Hospice [Member]
Business Acquisition [Line Items]
Goodwill					$ 169,338
Queen City Hospice [Member] | Non-competition Agreements [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired					$ 1,500
Intangible assets, estimated useful lives					5 years
Queen City Hospice [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Indefinite lived intangible assets acquired					$ 7,500
Queen City Hospice [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired					$ 11,000
Intangible assets, estimated useful lives					15 years
Queen City Hospice [Member] | Ohio [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition					$ 194,800
Excess cash held by acquired business					$ 15,400
Acquisition related costs									1,800
Integration costs									$ 2,200
County Homemakers [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired								1,200
Goodwill						$ 13,502
County Homemakers [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired						$ 300
Intangible assets, estimated useful lives						8 years
County Homemakers [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired						$ 100		$ 100
Intangible assets, estimated useful lives						1 year
County Homemakers [Member] | Pennsylvania [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition						$ 15,800
Excess cash held by acquired business						$ 1,100
Acquisition related costs										300
Integration costs										200
A Plus Health Care, Inc [Member]
Business Acquisition [Line Items]
Goodwill							$ 9,732
A Plus Health Care, Inc [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired							$ 1,400
Intangible assets, estimated useful lives							15 years
A Plus Health Care, Inc [Member] | Montana [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition							$ 14,500
Excess cash held by acquired business							$ 2,800
Acquisition related costs										400
Integration costs										$ 300
Apple Home [Member]
Business Acquisition [Line Items]
Acquisition completed date	Oct. 01, 2022
Business combination consideration transferred	$ 12,700
Potential additional contingent consideration	2,000
Goodwill	$ 8,900
Summit Home Health, LLC [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition			$ 8,100
Goodwill			$ 6,500