Significant Payors (Revenue by Geographic Location) (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
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	44.50%	43.80%	38.20%
Personal Care [Member]
Net service revenues	$ 794,718	$ 706,507	$ 685,854
Personal Care [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 115,986	$ 105,315	$ 97,784
Concentration risk, percentage	14.60%	14.90%	14.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 411,081	$ 360,778	$ 328,619
Concentration risk, percentage	51.70%	51.10%	47.90%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 92,469	$ 86,592	$ 99,732
Concentration risk, percentage	11.60%	12.30%	14.50%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 175,182	$ 153,822	$ 159,719
Concentration risk, percentage	22.10%	21.70%	23.30%
Hospice [Member]
Net service revenues	$ 207,155	$ 201,772	$ 152,253
Hospice [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 74,871	$ 70,503	$ 61,415
Concentration risk, percentage	36.10%	35.00%	40.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 30,782	$ 30,722	$ 36,063
Concentration risk, percentage	14.90%	15.20%	23.70%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 47,247	$ 47,181
Concentration risk, percentage	22.80%	23.40%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 54,255	$ 53,366	$ 54,775
Concentration risk, percentage	26.20%	26.40%	36.00%
Home Health [Member]
Net service revenues	$ 56,778	$ 42,841	$ 26,392
Home Health [Member] | Revenues [Member] | Geographic 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] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 32,949	$ 34,111	$ 24,735
Concentration risk, percentage	58.00%	79.60%	93.70%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 12,851	$ 8,730	$ 1,657
Concentration risk, percentage	22.60%	20.40%	6.30%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Tennessee [Member]
Net service revenues	$ 10,978
Concentration risk, percentage	19.40%