| 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 June 30, | | | For the Six Months Ended June 30, | |
| | | 2026 | | | 2025 | | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| State, local and other governmental programs | | $ | 148,822 | | | | 50.3 | % | | $ | 138,506 | | | | 51.4 | % | | $ | 288,457 | | | | 50.0 | % | | $ | 271,410 | | | | 51.4 | % |
| Managed care organizations | | | 139,285 | | | | 47.1 | | | | 121,900 | | | | 45.3 | | | | 272,959 | | | | 47.3 | | | | 238,907 | | | | 45.3 | |
| Private pay | | | 6,494 | | | | 2.2 | | | | 7,292 | | | | 2.7 | | | | 12,721 | | | | 2.2 | | | | 14,268 | | | | 2.7 | |
| Commercial insurance | | | 1,189 | | | | 0.4 | | | | 1,334 | | | | 0.5 | | | | 2,295 | | | | 0.4 | | | | 2,494 | | | | 0.5 | |
| Other | | | 205 | | | | — | | | | 151 | | | | 0.1 | | | | 657 | | | | 0.1 | | | | 390 | | | | 0.1 | |
| Total personal care segment net service revenues | | $ | 295,995 | | | | 100.0 | % | | $ | 269,183 | | | | 100.0 | % | | $ | 577,089 | | | | 100.0 | % | | $ | 527,469 | | | | 100.0 | % |
| Hospice Segment | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | | 2026 | | | 2025 | | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Medicare | | $ | 60,020 | | | | 93.4 | % | | $ | 57,846 | | | | 93.0 | % | | $ | 122,111 | | | | 93.9 | % | | $ | 114,638 | | | | 92.7 | % |
| Commercial insurance | | | 1,910 | | | | 3.0 | | | | 1,997 | | | | 3.2 | | | | 3,722 | | | | 2.9 | | | | 4,375 | | | | 3.5 | |
| Managed care organizations | | | 1,920 | | | | 3.0 | | | | 2,001 | | | | 3.2 | | | | 3,420 | | | | 2.6 | | | | 4,029 | | | | 3.3 | |
| Other | | | 397 | | | | 0.6 | | | | 368 | | | | 0.6 | | | | 779 | | | | 0.6 | | | | 607 | | | | 0.5 | |
| Total hospice segment net service revenues | | $ | 64,247 | | | | 100.0 | % | | $ | 62,212 | | | | 100.0 | % | | $ | 130,032 | | | | 100.0 | % | | $ | 123,649 | | | | 100.0 | % |
| Home Health Segment | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | | 2026 | | | 2025 | | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Medicare | | $ | 10,903 | | | | 63.5 | % | | $ | 12,517 | | | | 69.4 | % | | $ | 21,128 | | | | 62.3 | % | | $ | 25,094 | | | | 69.7 | % |
| Managed care organizations | | | 4,414 | | | | 25.7 | | | | 4,264 | | | | 23.6 | | | | 8,381 | | | | 24.7 | | | | 8,072 | | | | 22.4 | |
| State, local and other governmental programs (excluding Medicare) | | | 1,318 | | | | 7.7 | | | | 796 | | | | 4.4 | | | | 3,369 | | | | 9.9 | | | | 1,884 | | | | 5.2 | |
| Other | | | 540 | | | | 3.1 | | | | 471 | | | | 2.6 | | | | 1,029 | | | | 3.1 | | | | 983 | | | | 2.7 | |
| Total home health segment net service revenues | | $ | 17,175 | | | | 100.0 | % | | $ | 18,048 | | | | 100.0 | % | | $ | 33,907 | | | | 100.0 | % | | $ | 36,033 | | | | 100.0 | % |
| Personal Care Segment | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | | 2026 | | | 2025 | | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Illinois | | $ | 121,089 | | | | 40.9 | % | | $ | 115,226 | | | | 42.8 | % | | $ | 237,839 | | | | 41.2 | % | | $ | 226,640 | | | | 43.0 | % |
| Texas | | | 59,139 | | | | 20.0 | | | | 52,464 | | | | 19.5 | | | | 116,529 | | | | 20.2 | | | | 102,324 | | | | 19.4 | |
| New Mexico | | | 31,962 | | | | 10.8 | | | | 28,987 | | | | 10.8 | | | | 62,452 | | | | 10.8 | | | | 57,292 | | | | 10.9 | |
| All other states | | | 83,805 | | | | 28.3 | | | | 72,506 | | | | 26.9 | | | | 160,269 | | | | 27.8 | | | | 141,213 | | | | 26.7 | |
| Total personal care segment net service revenues | | $ | 295,995 | | | | 100.0 | % | | $ | 269,183 | | | | 100.0 | % | | $ | 577,089 | | | | 100.0 | % | | $ | 527,469 | | | | 100.0 | % |
| Hospice Segment | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | | 2026 | | | 2025 | | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| Ohio | | $ | 24,207 | | | | 37.7 | % | | $ | 23,204 | | | | 37.3 | % | | $ | 50,674 | | | | 39.0 | % | | $ | 46,391 | | | | 37.5 | % |
| Illinois | | | 13,708 | | | | 21.3 | | | | 14,419 | | | | 23.2 | | | | 28,047 | | | | 21.6 | | | | 28,983 | | | | 23.4 | |
| New Mexico | | | 8,475 | | | | 13.2 | | | | 8,184 | | | | 13.2 | | | | 16,346 | | | | 12.6 | | | | 16,097 | | | | 13.0 | |
| All other states | | | 17,857 | | | | 27.8 | | | | 16,405 | | | | 26.3 | | | | 34,965 | | | | 26.8 | | | | 32,178 | | | | 26.1 | |
| Total hospice segment net service revenues | | $ | 64,247 | | | | 100.0 | % | | $ | 62,212 | | | | 100.0 | % | | $ | 130,032 | | | | 100.0 | % | | $ | 123,649 | | | | 100.0 | % |
| Home Health Segment | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | | 2026 | | | 2025 | | | 2026 | | | 2025 | |
| | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | | | | | | | % of Segment | |
| | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | | | Amount | | | Net Service | |
| | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | | | (in Thousands) | | | Revenues | |
| New Mexico | | $ | 9,166 | | | | 53.4 | % | | $ | 8,737 | | | | 48.4 | % | | $ | 17,705 | | | | 52.2 | % | | $ | 17,292 | | | | 48.0 | % |
| Tennessee | | | 6,533 | | | | 38.0 | | | | 7,322 | | | | 40.6 | | | | 13,417 | | | | 39.6 | | | | 14,820 | | | | 41.1 | |
| Illinois | | | 1,476 | | | | 8.6 | | | | 1,989 | | | | 11.0 | | | | 2,785 | | | | 8.2 | | | | 3,921 | | | | 10.9 | |
| Total home health segment net service revenues | | $ | 17,175 | | | | 100.0 | % | | $ | 18,048 | | | | 100.0 | % | | $ | 33,907 | | | | 100.0 | % | | $ | 36,033 | | | | 100.0 | % |
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