Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Net service revenues	$ 280,746	$ 251,599
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	38.30%	39.10%
Personal Care [Member]
Net service revenues	$ 208,003	$ 190,032
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 208,003	$ 190,032
Concentration risk, percentage	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 107,575	$ 98,414
Concentration risk, percentage	51.80%	51.80%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 28,967	$ 28,474
Concentration risk, percentage	13.90%	15.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 23,534	$ 21,885
Concentration risk, percentage	11.30%	11.50%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 47,927	$ 41,259
Concentration risk, percentage	23.00%	21.70%
Hospice [Member]
Net service revenues	$ 55,863	$ 49,082
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 55,863	$ 49,082
Concentration risk, percentage	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 20,236	$ 18,451
Concentration risk, percentage	36.20%	37.60%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 12,252	$ 11,480
Concentration risk, percentage	21.90%	23.40%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 7,515	$ 6,486
Concentration risk, percentage	13.50%	13.20%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 15,860	$ 12,665
Concentration risk, percentage	28.40%	25.80%
Home Health [Member]
Net service revenues	$ 16,880	$ 12,485
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 16,880	$ 12,485
Concentration risk, percentage	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 2,942	$ 3,369
Concentration risk, percentage	17.40%	27.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Tennessee [Member]
Net service revenues	$ 6,161
Concentration risk, percentage	36.50%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 7,777	$ 9,116
Concentration risk, percentage	46.10%	73.00%