Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Net service revenues	$ 280,746	$ 251,599
Personal Care [Member]
Net service revenues	208,003	190,032
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 208,003	$ 190,032
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	$ 107,754	$ 95,320
Concentration risk, percentage	51.80%	50.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 94,276	$ 87,901
Concentration risk, percentage	45.30%	46.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 3,906	$ 4,226
Concentration risk, percentage	1.90%	2.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 1,486	$ 1,669
Concentration risk, percentage	0.70%	0.90%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 581	$ 916
Concentration risk, percentage	0.30%	0.50%
Hospice [Member]
Net service revenues	$ 55,863	$ 49,082
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 55,863	$ 49,082
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 50,652	$ 44,556
Concentration risk, percentage	90.70%	90.70%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,817	$ 1,647
Concentration risk, percentage	3.30%	3.40%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 3,134	$ 2,547
Concentration risk, percentage	5.60%	5.20%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 260	$ 332
Concentration risk, percentage	0.40%	0.70%
Home Health [Member]
Net service revenues	$ 16,880	$ 12,485
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 16,880	$ 12,485
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 11,663	$ 9,270
Concentration risk, percentage	69.10%	74.20%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 4,400	$ 2,539
Concentration risk, percentage	26.10%	20.30%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 817	$ 676
Concentration risk, percentage	4.80%	5.50%