Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Net service revenues	$ 1,058,651	$ 951,120	$ 864,499
Personal Care [Member]
Net service revenues	794,718	706,507	685,854
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 794,718	$ 706,507	$ 685,854
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	$ 400,753	$ 348,234	$ 338,325
Concentration risk, percentage	50.40%	49.30%	49.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 367,557	$ 326,778	$ 311,801
Concentration risk, percentage	46.20%	46.30%	45.50%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 16,268	$ 18,301	$ 19,991
Concentration risk, percentage	2.00%	2.60%	2.90%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 6,321	$ 7,689	$ 9,820
Concentration risk, percentage	0.80%	1.10%	1.40%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 3,819	$ 5,505	$ 5,917
Concentration risk, percentage	0.60%	0.70%	0.90%
Hospice [Member]
Net service revenues	$ 207,155	$ 201,772	$ 152,253
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 207,155	$ 201,772	$ 152,253
Concentration risk, percentage	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 186,317	$ 183,407	$ 142,086
Concentration risk, percentage	89.90%	90.90%	93.30%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 7,037	$ 7,353	$ 5,664
Concentration risk, percentage	3.40%	3.60%	3.70%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 13,801	$ 11,012	$ 4,503
Concentration risk, percentage	6.70%	5.50%	3.00%
Home Health [Member]
Net service revenues	$ 56,778	$ 42,841	$ 26,392
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 56,778	$ 42,841	$ 26,392
Concentration risk, percentage	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 41,078	$ 31,505	$ 20,700
Concentration risk, percentage	72.30%	73.50%	78.40%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 12,613	$ 8,698	$ 4,457
Concentration risk, percentage	22.20%	20.30%	16.90%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 3,087	$ 2,638	$ 1,235
Concentration risk, percentage	5.50%	6.20%	4.70%