Acquisitions (Narrative) (Details) - USD ($) $ in Thousands							12 Months Ended
	Aug. 01, 2023	Jan. 01, 2023	Oct. 01, 2022	Feb. 01, 2022	Oct. 01, 2021	Aug. 01, 2021	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Business Acquisition [Line Items]
Net service revenues							$ 1,058,651	$ 951,120	$ 864,499
Operating income							90,956	68,737	65,936
Goodwill							662,995	582,837	504,392
Tennessee Quality Care [Member]
Business Acquisition [Line Items]
Net service revenues							16,300
Operating income							3,000
Goodwill	$ 79,346
Tennessee Quality Care [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired	7,500
Tennessee Quality Care [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Indefinite lived intangible assets acquired	19,200
Tennessee Quality Care [Member] | Tennessee [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition	111,200
Acquisition related costs							2,100
Integration costs							$ 1,000
Excess cash held by acquired business	2,400
Tennessee Quality Care [Member] | Tennessee [Member] | Revolving Credit Facility [Member]
Business Acquisition [Line Items]
Line of credit outstanding amount	$ 110,000
JourneyCare [Member]
Business Acquisition [Line Items]
Net service revenues								47,200
Operating income								9,100
Goodwill				$ 69,446
JourneyCare [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired				9,000				9,000
JourneyCare [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Indefinite lived intangible assets acquired				4,800				4,800
JourneyCare [Member] | Illinois [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition				86,600
Business combination finalization of net working capital payable				1,600
Acquisition related costs								500
Integration costs								4,300
Excess cash held by acquired business				400
JourneyCare [Member] | Illinois [Member] | Revolving Credit Facility [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
Intangible assets, estimated useful lives						5 years
Armada Skilled Homecare [Member] | State Licenses [Member]
Business Acquisition [Line Items]
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
Acquisition related costs									400
Integration costs									$ 500
Excess cash held by acquired business						$ 700
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
Apple Home [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired								100
Apple Home [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Indefinite lived intangible assets acquired								$ 1,200
CareStaff [Member]
Business Acquisition [Line Items]
Business combination consideration transferred		$ 1,000
Goodwill		$ 600
Summit Home Health, LLC [Member]
Business Acquisition [Line Items]
Business combination consideration transferred					$ 8,100
Goodwill					$ 6,500