| Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Product and Service, Revenue [Table Text Block] |
| Personal Care Segment | | For the Three Months Ended March 31, | |
| | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| State, local and other governmental programs | | $ | 139,641 | | | | 49.7 | % | | $ | 132,904 | | | | 51.5 | % |
| Managed care organizations | | | 133,669 | | | | 47.6 | | | | 117,007 | | | | 45.3 | |
| Private pay | | | 6,227 | | | | 2.2 | | | | 6,976 | | | | 2.7 | |
| Commercial insurance | | | 1,106 | | | | 0.4 | | | | 1,160 | | | | 0.4 | |
| Other | | | 451 | | | | 0.1 | | | | 239 | | | | 0.1 | |
| Total personal care segment net service revenues | | $ | 281,094 | | | | 100.0 | % | | $ | 258,286 | | | | 100.0 | % |
| Hospice Segment | | For the Three Months Ended March 31, | |
| | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Medicare | | $ | 62,101 | | | | 94.4 | % | | $ | 56,788 | | | | 92.4 | % |
| Commercial insurance | | | 1,810 | | | | 2.8 | | | | 2,383 | | | | 3.9 | |
| Managed care organizations | | | 1,492 | | | | 2.3 | | | | 2,028 | | | | 3.3 | |
| Other | | | 382 | | | | 0.5 | | | | 238 | | | | 0.4 | |
| Total hospice segment net service revenues | | $ | 65,785 | | | | 100.0 | % | | $ | 61,437 | | | | 100.0 | % |
| Home Health Segment | | For the Three Months Ended March 31, | |
| | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Medicare | | $ | 10,227 | | | | 61.1 | % | | $ | 12,576 | | | | 69.9 | % |
| Managed care organizations | | | 3,970 | | | | 23.7 | | | | 3,810 | | | | 21.2 | |
| State, local and other governmental programs (excluding Medicare) | | | 2,046 | | | | 12.2 | | | | 1,087 | | | | 6.0 | |
| Other | | | 489 | | | | 3.0 | | | | 512 | | | | 2.9 | |
| Total home health segment net service revenues | | $ | 16,732 | | | | 100.0 | % | | $ | 17,985 | | | | 100.0 | % |
| Personal Care Segment | | For the Three Months Ended March 31, | |
| | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Illinois | | $ | 116,750 | | | | 41.5 | % | | $ | 111,414 | | | | 43.1 | % |
| Texas | | | 57,390 | | | | 20.4 | | | | 49,861 | | | | 19.3 | |
| New Mexico | | | 30,490 | | | | 10.8 | | | | 28,305 | | | | 11.0 | |
| New York(1) | | | — | | | | — | | | | 273 | | | | 0.1 | |
| All other states | | | 76,464 | | | | 27.3 | | | | 68,433 | | | | 26.5 | |
| Total personal care segment net service revenues | | $ | 281,094 | | | | 100.0 | % | | $ | 258,286 | | | | 100.0 | % |
| Hospice Segment | | For the Three Months Ended March 31, | |
| | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Ohio | | $ | 26,466 | | | | 40.2 | % | | $ | 23,187 | | | | 37.7 | % |
| Illinois | | | 14,339 | | | | 21.8 | | | | 14,564 | | | | 23.7 | |
| New Mexico | | | 7,871 | | | | 12.0 | | | | 7,913 | | | | 12.9 | |
| All other states | | | 17,109 | | | | 26.0 | | | | 15,773 | | | | 25.7 | |
| Total hospice segment net service revenues | | $ | 65,785 | | | | 100.0 | % | | $ | 61,437 | | | | 100.0 | % |
| Home Health Segment | | For the Three Months Ended March 31, | |
| | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| New Mexico | | $ | 8,539 | | | | 51.0 | % | | $ | 8,555 | | | | 47.6 | % |
| Tennessee | | | 6,884 | | | | 41.1 | | | | 7,498 | | | | 41.7 | |
| Illinois | | | 1,309 | | | | 7.9 | | | | 1,932 | | | | 10.7 | |
| Total home health segment net service revenues | | $ | 16,732 | | | | 100.0 | % | | $ | 17,985 | | | | 100.0 | % |
|