Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Net service revenues	$ 251,599	$ 226,634
Personal Care [Member]
Net service revenues	190,032	169,632
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 190,032	$ 169,632
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	$ 95,320	$ 83,908
Concentration risk, percentage	50.10%	49.50%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 87,901	$ 77,390
Concentration risk, percentage	46.30%	45.60%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 4,226	$ 4,626
Concentration risk, percentage	2.20%	2.70%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 1,669	$ 2,024
Concentration risk, percentage	0.90%	1.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 916	$ 1,684
Concentration risk, percentage	0.50%	1.00%
Hospice [Member]
Net service revenues	$ 49,082	$ 47,727
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 49,082	$ 47,727
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 44,556	$ 43,485
Concentration risk, percentage	90.70%	91.10%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,647	$ 1,715
Concentration risk, percentage	3.40%	3.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,547	$ 2,244
Concentration risk, percentage	5.20%	4.70%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 332	$ 283
Concentration risk, percentage	0.70%	0.60%
Home Health [Member]
Net service revenues	$ 12,485	$ 9,275
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 12,485	$ 9,275
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 9,270	$ 6,812
Concentration risk, percentage	74.20%	73.50%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 2,539	$ 1,904
Concentration risk, percentage	20.30%	20.50%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 676	$ 559
Concentration risk, percentage	5.50%	6.00%