Significant Payors (Revenue by Geographic Location) (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
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	43.80%	38.20%	37.70%
Personal Care [Member]
Net service revenues	$ 706,507	$ 685,854	$ 647,233
Personal Care [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 360,778	$ 328,619	$ 288,326
Concentration risk, percentage	51.10%	47.90%	44.60%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 86,592	$ 99,732	$ 115,510
Concentration risk, percentage	12.30%	14.50%	17.80%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 105,315	$ 97,784	$ 86,618
Concentration risk, percentage	14.90%	14.30%	13.40%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 153,822	$ 159,719	$ 156,779
Concentration risk, percentage	21.70%	23.30%	24.20%
Hospice [Member]
Net service revenues	$ 201,772	$ 152,253	$ 101,297
Hospice [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 47,181
Concentration risk, percentage	23.40%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 30,722	$ 36,063	$ 42,648
Concentration risk, percentage	15.20%	23.70%	42.10%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 53,366	$ 54,775	$ 58,649
Concentration risk, percentage	26.40%	36.00%	57.90%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 70,503	$ 61,415
Concentration risk, percentage	35.00%	40.30%
Home Health [Member]
Net service revenues	$ 42,841	$ 26,392	$ 16,245
Home Health [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 8,730	$ 1,657
Concentration risk, percentage	20.40%	6.30%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 34,111	$ 24,735	$ 16,245
Concentration risk, percentage	79.60%	93.70%	100.00%