Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Net service revenues	$ 951,120	$ 864,499	$ 764,775
Personal Care [Member]
Net service revenues	706,507	685,854	647,233
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 706,507	$ 685,854	$ 647,233
Concentration risk, percentage	100.00%	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | State, Local And Other Governmental Programs [Member]
Net service revenues	$ 348,234	$ 338,325	$ 324,670
Concentration risk, percentage	49.30%	49.30%	50.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 326,778	$ 311,801	$ 287,032
Concentration risk, percentage	46.30%	45.50%	44.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 18,301	$ 19,991	$ 20,398
Concentration risk, percentage	2.60%	2.90%	3.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 7,689	$ 9,820	$ 9,991
Concentration risk, percentage	1.10%	1.40%	1.50%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 5,505	$ 5,917	$ 5,142
Concentration risk, percentage	0.70%	0.90%	0.80%
Hospice [Member]
Net service revenues	$ 201,772	$ 152,253	$ 101,297
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 201,772	$ 152,253	$ 101,297
Concentration risk, percentage	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 183,407	$ 142,086	$ 94,068
Concentration risk, percentage	90.90%	93.30%	92.90%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 7,353	$ 5,664	$ 4,931
Concentration risk, percentage	3.60%	3.70%	4.90%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 11,012	$ 4,503	$ 2,298
Concentration risk, percentage	5.50%	3.00%	2.20%
Home Health [Member]
Net service revenues	$ 42,841	$ 26,392	$ 16,245
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 42,841	$ 26,392	$ 16,245
Concentration risk, percentage	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 31,505	$ 20,700	$ 12,765
Concentration risk, percentage	73.50%	78.40%	78.60%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 8,698	$ 4,457	$ 3,188
Concentration risk, percentage	20.30%	16.90%	19.60%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 2,638	$ 1,235	$ 292
Concentration risk, percentage	6.20%	4.70%	1.80%