Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2022	Mar. 31, 2021
Net service revenues		$ 226,634	$ 205,302
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage		42.40%	35.80%
Personal Care [Member]
Net service revenues		$ 169,632	$ 164,868
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues		$ 169,632	$ 164,868
Concentration risk, percentage		100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues		$ 84,693	$ 73,385
Concentration risk, percentage		49.90%	44.50%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	[1]	$ 21,385	$ 27,575
Concentration risk, percentage	[1]	12.60%	16.70%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues		$ 25,440	$ 23,593
Concentration risk, percentage		15.00%	14.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues		$ 38,114	$ 40,315
Concentration risk, percentage		22.50%	24.50%
Hospice [Member]
Net service revenues		$ 47,727	$ 36,094
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues		$ 47,727	$ 36,094
Concentration risk, percentage		100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	[2]	$ 9,541
Concentration risk, percentage	[2]	20.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues		$ 8,233	$ 9,230
Concentration risk, percentage		17.30%	25.60%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues		$ 13,625	$ 12,750
Concentration risk, percentage		28.50%	35.30%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Ohio [Member]
Net service revenues		$ 16,328	$ 14,114
Concentration risk, percentage		34.20%	39.10%
Home Health [Member]
Net service revenues		$ 9,275	$ 4,340
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues		$ 9,275	$ 4,340
Concentration risk, percentage		100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	[3]	$ 1,766
Concentration risk, percentage	[3]	19.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues		$ 7,509	$ 4,340
Concentration risk, percentage		81.00%	100.00%

[1] In 2019, New York initiated a new Request For Offer (“RFO”) process to competitively procure CDPAP fiscal intermediaries. The Company was not selected in the initial RFO process. We submitted a formal protest in response to the selection process, which was filed and accepted in March 2021, but we have not yet received a response to the formal protest. The Company continues to consider other arrangements and to pursue our protest of the award. The New York fiscal year 2023 state budget, passed in April 2022, amends the current Fiscal Intermediary RFO process to authorize all fiscal intermediaries that submitted an RFO application and served at least 200 clients in New York City or 50 clients in other counties between January 1, 2020 and March 31, 2020 to contract with the New York State Department of Health and continue to operate in all counties contained in their application. Under this provision, the Company would be allowed to continue to contract with all of its current payors for CDPAP services. The Company is currently assessing the future of its participation in this program. Given the status of the program, the Company has suspended materially all of its new patient admissions under the New York CDPAP program.

[2] With the JourneyCare acquisition, the Company expanded its hospice services in the state of Illinois.

[3] With the acquisition of Summit Home Health, LLC (“Summit”) on October 1, 2021, the Company expanded its home health services in the state of Illinois.