Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Net service revenues	$ 286,922	$ 259,980	$ 567,668	$ 511,579
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	38.60%	40.00%	38.50%	39.50%
Personal Care [Member]
Net service revenues	$ 212,817	$ 198,314	$ 420,820	$ 388,346
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 212,817	$ 198,314	$ 420,820	$ 388,346
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 110,774	$ 103,864	$ 218,349	$ 202,279
Concentration risk, percentage	52.10%	52.40%	51.90%	52.10%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 28,644	$ 27,907	$ 57,611	$ 56,381
Concentration risk, percentage	13.50%	14.10%	13.70%	14.50%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 23,299	$ 23,841	$ 46,833	$ 45,727
Concentration risk, percentage	10.90%	12.00%	11.10%	11.80%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 50,100	$ 42,702	$ 98,027	$ 83,959
Concentration risk, percentage	23.50%	21.50%	23.30%	21.60%
Hospice [Member]
Net service revenues	$ 56,030	$ 50,210	$ 111,893	$ 99,292
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 56,030	$ 50,210	$ 111,893	$ 99,293
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues	$ 20,633	$ 19,332	$ 40,869	$ 37,783
Concentration risk, percentage	36.80%	38.50%	36.50%	38.10%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 13,003	$ 11,606	$ 25,255	$ 23,087
Concentration risk, percentage	23.20%	23.10%	22.60%	23.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 6,895	$ 6,540	$ 14,410	$ 13,026
Concentration risk, percentage	12.30%	13.00%	12.90%	13.10%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 15,499	$ 12,732	$ 31,359	$ 25,397
Concentration risk, percentage	27.70%	25.40%	28.00%	25.50%
Home Health [Member]
Net service revenues	$ 18,075	$ 11,456	$ 34,955	$ 23,941
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 18,075	$ 11,456	$ 34,955	$ 23,941
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 3,042	$ 3,363	$ 5,984	$ 6,732
Concentration risk, percentage	16.80%	29.40%	17.10%	28.10%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 8,300	$ 8,093	$ 16,077	$ 17,209
Concentration risk, percentage	45.90%	70.60%	46.00%	71.90%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Tennessee
Net service revenues	$ 6,733		$ 12,894
Concentration risk, percentage	37.30%		36.90%