Entity Central Index Key Lessee operating lease liability payments due after year four. Business combination recognized identifiable assets acquired and liabilities assumed operating lease assets. Business combination recognized identifiable assets acquired and liabilities assumed accrued expenses. Business combination recognized identifiable assets acquired and liabilities assumed accrued payroll. Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Long term Operating Lease Liabilities. Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Government stimulus advances. Cover [Abstract] Document Type Document Type Amendment Flag Amendment Flag Document Period End Date Document Period End Date Document Fiscal Period Focus Document Fiscal Period Focus Document Fiscal Year Focus Document Fiscal Year Focus Entity Registrant Name Entity Registrant Name Entity Central Index Key Trading Symbol Trading Symbol Current Fiscal Year End Date Current Fiscal Year End Date Entity Filer Category Entity Filer Category Entity Small Business Entity Small Business Entity Emerging Growth Company Entity Emerging Growth Company Entity Shell Company Entity Shell Company Entity Current Reporting Status Entity Current Reporting Status Entity Address, State or Province Entity Address State Or Province Entity File Number Entity File Number Entity Tax Identification Number Entity Tax Identification Number Entity Address, Address Line One Entity Address Address Line1 Entity Address, Address Line Two Entity Address Address Line2 Entity Address, City or Town Entity Address City Or Town Entity Address, Postal Zip Code Entity Address Postal Zip Code City Area Code City Area Code Local Phone Number Local Phone Number Entity Common Stock, Shares Outstanding Entity Common Stock Shares Outstanding Document Quarterly Report Document Quarterly Report Document Transition Report Document Transition Report Entity Interactive Data Current Entity Interactive Data Current Entity Incorporation, State or Country Code Entity Incorporation State Country Code Title of 12(b) Security Security12b Title Security Exchange Name Security Exchange Name Government stimulus advances current. Statement Of Financial Position [Abstract] Assets Assets [Abstract] Current assets Assets Current [Abstract] Cash Cash And Cash Equivalents At Carrying Value Accounts receivable, net Accounts Receivable Net Current Prepaid expenses and other current assets Prepaid Expense And Other Assets Current Total current assets Assets Current Property and equipment, net of accumulated depreciation and amortization Property Plant And Equipment Net Other assets Other Assets Noncurrent [Abstract] Goodwill Goodwill Intangibles, net of accumulated amortization Intangible Assets Net Excluding Goodwill Deferred tax assets, net Deferred Income Tax Assets Net Operating lease assets, net Operating Lease Right Of Use Asset Total other assets Other Assets Total assets Assets Liabilities and stockholders' equity Liabilities And Stockholders Equity [Abstract] Current liabilities Liabilities Current [Abstract] Accounts payable Accounts Payable Current Accrued payroll Accrued Salaries Current Accrued expenses Accrued Liabilities Current Government stimulus advances Government Stimulus Advances Current Accrued workers' compensation insurance Workers Compensation Liability Current Current portion of long-term debt Long Term Debt Current Total current liabilities Liabilities Current Long-term liabilities Liabilities Noncurrent [Abstract] Long-term debt, less current portion, net of debt issuance costs Long Term Debt Noncurrent Long-term operating lease liabilities Operating Lease Liability Noncurrent Other long-term liabilities Other Liabilities Noncurrent Total long-term liabilities Liabilities Noncurrent Total liabilities Liabilities Stockholders' equity Stockholders Equity [Abstract] Common stock—$.001 par value; 40,000 authorized and 15,917 and 15,826 shares issued and outstanding as of June 30, 2021 and December 31, 2020, respectively Common Stock Value Additional paid-in capital Additional Paid In Capital Common Stock Retained earnings Retained Earnings Accumulated Deficit Total stockholders' equity Stockholders Equity Total liabilities and stockholders' equity Liabilities And Stockholders Equity Common stock, par value Common Stock Par Or Stated Value Per Share Common stock, shares authorized Common Stock Shares Authorized Common stock, shares issued Common Stock Shares Issued Common stock, shares outstanding Common Stock Shares Outstanding Income Statement [Abstract] Net service revenues Revenue From Contract With Customer Excluding Assessed Tax Cost of service revenues Cost Of Goods And Services Sold Gross profit Gross Profit General and administrative expenses General And Administrative Expense Depreciation and amortization Depreciation And Amortization Total operating expenses Operating Expenses Operating income Operating Income Loss Interest income Investment Income Interest Interest expense Interest Expense Total interest expense, net Interest Income Expense Net Income before income taxes Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments Income tax expense Income Tax Expense Benefit Net income Net Income Loss Net income per common share Earnings Per Share [Abstract] Basic income per share Earnings Per Share Basic Diluted income per share Earnings Per Share Diluted Weighted average number of common shares and potential common shares outstanding: Weighted Average Number Of Shares Outstanding Basic [Abstract] Basic Weighted Average Number Of Shares Outstanding Basic Diluted Weighted Average Number Of Diluted Shares Outstanding Statement Of Stockholders Equity [Abstract] Statement [Table] Statement [Table] Equity Components Statement Equity Components [Axis] Equity Component Equity Component [Domain] Common Stock [Member] Common Stock [Member] Additional Paid-in Capital [Member] Additional Paid In Capital [Member] Retained Earnings [Member] Retained Earnings [Member] Statement [Line Items] Statement [Line Items] Balance Balance, shares Shares Outstanding Issuance of shares of common stock under restricted stock award agreements, shares Stock Issued During Period Shares Restricted Stock Award Gross Forfeiture of shares of common stock under restricted stock award agreements, shares Stock Issued During Period Shares Restricted Stock Award Forfeited Stock-based compensation Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value Shares issued for exercise of stock options Stock Issued During Period Value Stock Options Exercised Shares issued for exercise of stock options, shares Stock Issued During Period Shares Stock Options Exercised Net income Balance Balance, shares Increase decrease in government stimulus advances. Repayments Of Term Loan Credit Facility Statement Of Cash Flows [Abstract] Cash flows from operating activities: Net Cash Provided By Used In Operating Activities [Abstract] Net income Profit Loss Adjustments to reconcile net income to net cash (used in) provided by operating activities, net of acquisitions: Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities [Abstract] Depreciation and amortization Depreciation Depletion And Amortization Deferred income taxes Deferred Income Tax Expense Benefit Stock-based compensation Share Based Compensation Amortization of debt issuance costs under the credit facility Amortization Of Financing Costs Provision for doubtful accounts Provision For Doubtful Accounts Loss (gain) of disposal of assets Gain Loss On Disposition Of Assets1 Changes in operating assets and liabilities, net of acquisitions: Increase Decrease In Operating Capital [Abstract] Accounts receivable Increase Decrease In Accounts Receivable Prepaid expenses and other current assets Increase Decrease In Prepaid Deferred Expense And Other Assets Government stimulus advances Increase Decrease In Government Stimulus Advances Accounts payable Increase Decrease In Accounts Payable Accrued payroll Increase Decrease In Employee Related Liabilities Accrued expenses and other long-term liabilities Increase Decrease In Other Accounts Payable And Accrued Liabilities Net cash (used in) provided by operating activities Net Cash Provided By Used In Operating Activities Cash flows from investing activities: Net Cash Provided By Used In Investing Activities [Abstract] Purchases of property and equipment Payments To Acquire Property Plant And Equipment Acquisitions of businesses, net of cash acquired Payments To Acquire Businesses Net Of Cash Acquired Proceeds from disposal of assets Proceeds From Sale Of Productive Assets Net cash used in investing activities Net Cash Provided By Used In Investing Activities Cash flows from financing activities: Net Cash Provided By Used In Financing Activities [Abstract] Payments on term loan — credit facility Repayments Of Term Loan Credit Facility Cash received from exercise of stock options Proceeds From Stock Options Exercised Other Proceeds From Payments For Other Financing Activities Net cash (used in) provided by financing activities Net Cash Provided By Used In Financing Activities Net change in cash Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect Cash, at beginning of period Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations Cash, at end of period Supplemental disclosures of cash flow information: Additional Cash Flow Elements And Supplemental Cash Flow Information [Abstract] Cash paid for interest Interest Paid Net Cash paid for income taxes Income Taxes Paid Net Organization Consolidation And Presentation Of Financial Statements [Abstract] Nature of Operations, Consolidation, and Presentation of Financial Statements Organization Consolidation And Presentation Of Financial Statements Disclosure [Text Block] Accounting Policies [Abstract] Summary of Significant Accounting Policies Significant Accounting Policies [Text Block] Operating and finance leases of lessee. Leases [Abstract] Leases Operating And Finance Leases Of Lessee Disclosure [Text Block] Business Combinations [Abstract] Acquisitions Business Combination Disclosure [Text Block] Goodwill And Intangible Assets Disclosure [Abstract] Goodwill and Intangible Assets Goodwill And Intangible Assets Disclosure [Text Block] Details Of Certain Balance Sheet Accounts Disclosure [Text Block] Details Of Certain Balance Sheet Accounts Abstract Details Of Certain Balance Sheet Accounts [Abstract] Details of Certain Balance Sheet Accounts Details Of Certain Balance Sheet Accounts Disclosure [Text Block] Long Term Debt [Abstract] Long-Term Debt Long Term Debt [Text Block] Income Tax Disclosure [Abstract] Income Taxes Income Tax Disclosure [Text Block] Commitments And Contingencies Disclosure [Abstract] Commitments and Contingencies Commitments And Contingencies Disclosure [Text Block] Segment Reporting [Abstract] Segment Information Segment Reporting Disclosure [Text Block] Significant Payors [Abstract] Significant Payors [Abstract] Significant Payors Concentration Risk Disclosure [Text Block] Subsequent Events [Abstract] Subsequent Events Subsequent Events [Text Block] Basis of Presentation Basis Of Accounting Policy Policy [Text Block] Principles of Consolidation Consolidation Policy [Text Block] Estimates Use Of Estimates Diluted Net Income Per Common Share Earnings Per Share Policy [Text Block] Recently Issued and Adopted Accounting Pronouncements New Accounting Pronouncements Policy Policy [Text Block] Schedule of balance sheet information related to operating leases. Amounts Reported in Unaudited and Audited Condensed Consolidated Balance Sheets for Operating Leases Schedule Of Balance Sheet Information Related To Operating Leases Table [Text Block] Components of Lease Costs Reported in General and Administrative Expenses in Unaudited Condensed Consolidated Statements of Income Lease Cost Table [Text Block] Schedule of weighted average remaining lease terms and discount rates. Schedule of Weighted Average Remaining Lease Terms and Discount Rates Schedule Of Weighted Average Remaining Lease Terms And Discount Rates Table [Text Block] Summary of Remaining Operating Lease Payments Lessee Operating Lease Liability Maturity Table [Text Block] Schedule of supplemental cash flows information related to operating leases. Supplemental Cash Flows Information Schedule Of Supplemental Cash Flows Information Related To Operating Leases Table [Text Block] Schedule Of Business Acquisitions By Acquisition [Table] Schedule Of Business Acquisitions By Acquisition [Table] Business Acquisition Business Acquisition [Axis] Business Acquisition, Acquiree Business Acquisition Acquiree [Domain] Queen City Hospice, LLC. Queen City Hospice [Member] Queen City Hospice L L C [Member] County Homemakers. County Homemakers [Member] County Homemakers [Member] A Plus Health Cares. A Plus Health Care, Inc [Member] A Plus Health Cares Inc [Member] Business Acquisition [Line Items] Business Acquisition [Line Items] Schedule of Fair Values of Assets and Liabilities Schedule Of Recognized Identified Assets Acquired And Liabilities Assumed Table [Text Block] Unaudited Pro Forma Condensed Consolidated Income Statement Information Business Acquisition Pro Forma Information [Text Block] Summary of Goodwill and Related Adjustments Schedule Of Goodwill [Text Block] Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset Schedule Of Impaired Intangible Assets [Text Block] Schedule of Prepaid Expenses and Other Current Assets Schedule Of Other Assets Table [Text Block] Schedule of Accrued Expenses Schedule Of Accrued Liabilities Table [Text Block] Schedule of government stimulus advances. Schedule of Government Stimulus Advances Schedule Of Government Stimulus Advances Table [Text Block] Schedule of Long-Term Debt Schedule Of Debt Instruments [Text Block] Summary of Segment Information Schedule Of Segment Reporting Information By Segment [Text Block] Schedule of Revenue by Payor Type Schedule Of Entity Wide Information Revenue From External Customers By Products And Services [Text Block] Schedule of Revenue by Geographic Location Revenue From External Customers By Geographic Areas Table [Text Block] Number of operating segments Number Of Operating Segments Number of potential diluted shares outstanding. Summary Of Significant Accounting Policies [Line Items] Summary Of Significant Accounting Policies [Table] Summary Of Significant Accounting Policies [Table] Summary Of Significant Accounting Policies [Table] Award Type Award Type [Axis] Award Type Share Based Compensation Arrangements By Share Based Payment Award Award Type And Plan Name [Domain] Stock Options [Member] Employee Stock Option [Member] Restricted Stock [Member] Restricted Stock [Member] Accounting Standards Update Adjustments For New Accounting Pronouncements [Axis] Accounting Standards Update Type Of Adoption [Member] ASU 2019-12 [Member] Accounting Standards Update201912 [Member] Summary Of Significant Accounting Policies [Line Items] Summary Of Significant Accounting Policies [Line Items] Number of potential diluted securities outstanding Number Of Potential Diluted Shares Outstanding Number of securities included in calculation of diluted earnings per share Weighted Average Number Diluted Shares Outstanding Adjustment Change in accounting principle, accounting standards update, adopted Change In Accounting Principle Accounting Standards Update Adopted Change in accounting principle, accounting standards update, immaterial effect Change In Accounting Principle Accounting Standards Update Immaterial Effect Change in accounting principle, accounting standards update, adoption date Change In Accounting Principle Accounting Standards Update Adoption Date Short-term operating lease liabilities (in accrued expenses) Operating Lease Liability Current Operating lease, liability, current, statement of financial position [Extensible List] Operating Lease Liability Current Statement Of Financial Position Extensible List Total operating lease liabilities Operating Lease Liability Operating lease costs Operating Lease Cost Short-term lease costs Short Term Lease Cost Less: sublease income Sublease Income Total lease costs, net Lease Cost Weighted average remaining lease term Operating Lease Weighted Average Remaining Lease Term1 Weighted average discount rate Operating Lease Weighted Average Discount Rate Percent 2022 Lessee Operating Lease Liability Payments Remainder Of Fiscal Year 2023 Lessee Operating Lease Liability Payments Due Next Twelve Months 2024 Lessee Operating Lease Liability Payments Due Year Two 2025 Lessee Operating Lease Liability Payments Due Year Three 2026 Lessee Operating Lease Liability Payments Due Year Four Thereafter Lessee Operating Lease Liability Payments Due After Year Four Total future minimum rental commitments Lessee Operating Lease Liability Payments Due Less: Imputed interest Lessee Operating Lease Liability Undiscounted Excess Amount Total lease liabilities Cash paid for amounts included in the measurement of lease liabilities abstract. Right-of-use assets obtained in exchange for lease obligations abstract. Cash paid for amounts included in the measurement of lease liabilities: Cash Paid For Amounts Included In Measurement Of Lease Liabilities [Abstract] Operating cash flows from operating leases Operating Lease Payments Right-of-use assets obtained in exchange for lease obligations: Right Of Use Assets Obtained In Exchange For Lease Obligations [Abstract] Operating leases Right Of Use Asset Obtained In Exchange For Operating Lease Liability Geographical Statement Geographical [Axis] Geographical Segment Geographical [Domain] Ohio [Member] OHIO Finite-Lived Intangible Assets by Major Class Finite Lived Intangible Assets By Major Class [Axis] Finite-Lived Intangible Assets, Major Class Name Finite Lived Intangible Assets Major Class Name [Domain] Trade Names [Member] Trade Names [Member] Non-competition Agreements [Member] Noncompete Agreements [Member] State licenses member. State Licenses [Member] State Licenses [Member] Pennsylvania [Member] PANAMA Montana [Member] MALTA SunLife Hospice. SunLife Hospice [Member] Sun Life Hospice [Member] Total purchase price for business acquisition Acquisition related costs Business Combination Acquisition Related Costs Integration costs Business Combination Integration Related Costs Excess cash held by acquired business Cash Acquired From Acquisition Identifiable intangible assets Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangible Assets Other Than Goodwill Cash Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Cash And Equivalents Property and equipment Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Property Plant And Equipment Accounts receivable Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Receivables Operating lease assets, net Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Operating Lease Assets Other assets Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Other Accounts payable Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Liabilities Accounts Payable Accrued expenses Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Accrued Expenses Accrued payroll Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Accrued Payroll Long-term operating lease liabilities Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Long Term Operating Lease Liabilities Other liabilities Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Liabilities Other Government stimulus advances Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Government Stimulus Advances Total purchase price Business Combination Recognized Identifiable Assets Acquired Goodwill And Liabilities Assumed Net Intangible assets, estimated useful lives Finite Lived Intangible Asset Useful Life Identifiable intangible assets acquired Finitelived Intangible Assets Acquired1 Indefinite lived intangible assets acquired Indefinitelived Intangible Assets Acquired Business Acquisition, Pro Forma Operating Income Net service revenues Business Acquisitions Pro Forma Revenue Operating income Business Acquisition Pro Forma Operating Income Net income Business Acquisitions Pro Forma Net Income Loss Basic income per share Business Acquisition Pro Forma Earnings Per Share Basic Diluted income per share Business Acquisition Pro Forma Earnings Per Share Diluted Schedule Of Goodwill [Table] Schedule Of Goodwill [Table] Income Statement Location Income Statement Location [Axis] Income Statement Location Income Statement Location [Domain] General and Administrative Expense [Member] General And Administrative Expense [Member] Statistical Measurement Range [Axis] Statistical Measurement Range [Member] Minimum [Member] Minimum [Member] Maximum [Member] Maximum [Member] Customer and referral relationships. Customer and Referral Relationships [Member] Customer And Referral Relationships [Member] Goodwill [Line Items] Goodwill [Line Items] Segments Statement Business Segments [Axis] Segments Segment [Domain] Hospice. Hospice [Member] Hospice [Member] Personal care. Personal Care [Member] Personal Care [Member] Home health. Home Health [Member] Home Health [Member] Goodwill, at Beginning of Period Additions for acquisitions Goodwill Acquired During Period Adjustments to previously recorded goodwill Goodwill Purchase Accounting Adjustments Goodwill, at End of Period Schedule Of Finite Lived Intangible Assets [Table] Schedule Of Finite Lived Intangible Assets [Table] Customer And Referral Relationships [Member] Customer Relationships [Member] Trade Names and Trademarks [Member] Trademarks And Trade Names [Member] Finite Lived Intangible Assets [Line Items] Finite Lived Intangible Assets [Line Items] Intangible assets with indefinite lives Indefinite Lived Intangible Assets Excluding Goodwill Intangible assets subject to amortization: Finite Lived Intangible Assets Net [Abstract] Gross carrying amount Finite Lived Intangible Assets Gross Accumulated amortization Finite Lived Intangible Assets Accumulated Amortization Intangible assets subject to amortization, net Finite Lived Intangible Assets Net Total intangible assets at June 30, 2021 Amortization expense Amortization Of Intangible Assets Weighted average remaining useful lives of identifiable intangible assets Finite Lived Intangible Assets Remaining Amortization Period1 Prepaid Workers Compensation And Liability Insurance Current Workers' compensation insurance receivable Prepaid workers’ compensation and liability insurance Prepaid Workers Compensation And Liability Insurance Current Workers' compensation insurance receivable Workers Compensation Insurance Receivable Health insurance receivable Insurance Settlements Receivable Current Other Other Assets Current Total prepaid expenses and other current assets Payor advance current. Current portion of operating lease liabilities Payor advances Payor Advance Current Accrued health insurance Accrued Insurance Current Accrued professional fees Accrued Professional Fees Current Accrued payroll taxes Accrued Payroll Taxes Current Other Other Accrued Liabilities Current Total accrued expenses Deferred payroll taxes. Provider relief fund current. Centers for Medicare & Medicaid Services advanced payment program current. Details of certain balance sheet accounts. Details of certain balance sheet accounts. Details Of Certain Balance Sheet Accounts [Table] Details Of Certain Balance Sheet Accounts [Table] Queen City Hospice [Member] Details Of Certain Balance Sheet Accounts [Line Items] Details Of Certain Balance Sheet Accounts [Line Items] Payroll tax deferral Deferred Payroll Taxes Provider Relief Fund Provider Relief Fund Current CMS advanced payment program — Queen City Hospice Centers For Medicare And Medicaid Services Advanced Payment Program Current Total government stimulus advances CARES Act and other relief legislation. Proceeds from grants. Fund distributed to health care related expenses. Intends to pay retention payments. Annual awards for commercial organizations. Jurisdiction Statutory Accounting Practices By Jurisdiction [Axis] Statutory Accounting Practices, Jurisdiction Statutory Accounting Practices Jurisdiction [Domain] Coronavirus aid relief and economic security act. CARES Act [Member] Coronavirus Aid Relief And Economic Security Act [Member] Other Commitments Other Commitments [Axis] Other Commitments Other Commitments [Domain] Provider relief fund. Provider Relief Fund [Member] Provider Relief Fund [Member] Medicare accelerated and advance payment program. Medicare Accelerated And Advance Payment Program [Member] Medicare Accelerated And Advance Payment Program [Member] Hospice and home health. Hospice and Home Health [Member] Hospice And Home Health [Member] CARES Act and other relief legislation C A R E S Act And Other Relief Legislation Aggregate principal amount of grants received Proceeds From Grants Fund distributed to health care related expenses Fund Distributed To Health Care Related Expenses Intends to pay retention payments Intends To Pay Retention Payments Annual awards for commercial organizations Annual Awards For Commercial Organizations Medicare payment period. Request percentage of advance or accelerated payment. Repayment of grants. Repayment of funds year and month. Medicare payment period Medicare Payment Period Request percentage of advance or accelerated payment Request Percentage Of Advance Or Accelerated Payment Repayment of grants Repayment Of Grants Repayment of funds period Repayment Of Funds Year And Month Expected future repayment of deferred payroll taxes. Repayment of deferred payroll taxes in fourth quarter of 2021 Expected Future Repayment Of Deferred Payroll Taxes Debt Instrument [Table] Debt Instrument [Table] Long-term Debt, Type Longterm Debt Type [Axis] Long-term Debt, Type Longterm Debt Type [Domain] Term loan. Term Loan [Member] Term Loan [Member] Credit Facility Credit Facility [Axis] Credit Facility Credit Facility [Domain] Revolving Credit Loan [Member] Revolving Credit Facility [Member] Debt Instrument Debt Instrument [Axis] Debt Instrument, Name Debt Instrument Name [Domain] Senior secured credit facility. Senior Secured Credit Facility [Member] Senior Secured Credit Facility [Member] Debt Instrument [Line Items] Debt Instrument [Line Items] Long-term debt gross Debt Instrument Carrying Amount Less unamortized issuance costs Deferred Finance Costs Net Total Long Term Debt Less current maturities Long-term debt Leverage Ratio Credit agreement. Credit Agreement [Member] Credit Agreement [Member] Revolving Credit Loan [Member] Lender Name Line Of Credit Facility [Axis] Line of Credit Facility, Lender Line Of Credit Facility Lender [Domain] Capital one. Capital One, National Association [Member] Capital One [Member] Scenario Statement Scenario [Axis] Scenario Scenario Unspecified [Domain] Based on applicable senior leverage ratio. Based On Applicable Senior Leverage Ratio Based On Applicable Senior Leverage Ratio [Member] Based on applicable leverage ratio. Based On Applicable Leverage Ratio [Member] Based On Applicable Leverage Ratio [Member] Variable Rate Variable Rate [Axis] Variable Rate Variable Rate [Domain] Fixed rate on a U.S. dollar, constant-notional interest rate swap that has its variable-rate leg referenced to the Federal Funds effective rate with no additional spread over the Federal Funds effective rate on that variable-rate leg. Alternate captions include overnight index swap rate (OIS). Federal Funds Rate [Member] Federal Funds Rate [Member] London Interbank Offered Rate (LIBOR) London Interbank Offered Rate L I B O R [Member] Delayed draw term loan. Delayed Draw Term Loan [Member] Delayed Draw Term Loan [Member] Restriction on dividends. Restriction on Dividends [Member] Restriction On Dividends [Member] Maximum aggregate loan amount available Line Of Credit Facility Maximum Borrowing Capacity Debt instrument, maturity date Debt Instrument Maturity Date Debt instrument variable interest rate margin Debt Instrument Basis Spread On Variable Rate1 Debt instrument total net leverage ratio Leverage Ratio Fee charged on unused portion of revolving credit facility Line Of Credit Facility Unused Capacity Commitment Fee Percentage Aggregate Amount Of Dividends And Distributions Aggregate amount of dividends and distributions Aggregate Amount Of Dividends And Distributions Increase in credit facility Line Of Credit Facility Increase Decrease For Period Net Proceeds of credit facility Proceeds From Lines Of Credit Proceeds from line of credit Proceeds From Long Term Lines Of Credit Line of credit outstanding amount Line Of Credit Debt instrument stated interest rate Debt Instrument Interest Rate Stated Percentage Effective income tax rate Effective Income Tax Rate Continuing Operations Percentage of excess tax benefit. Percentage of excess tax benefit included in effective income tax rage Percentage Of Excess Tax Benefit Authorized fund to be distributed to health care providers. Commitments and contingencies. Commitments and contingencies. Commitments And Contingencies [Table] Commitments And Contingencies [Table] Paycheck Protection Program and Health Care Enhancement Ac. PPPHCE Act [Member] Paycheck Protection Program And Health Care Enhancement Act [Member] Forecast [Member] Scenario Forecast [Member] Palmetto GBA LLC. Palmetto [Member] Palmetto G B A L L C [Member] Commitments And Contingencies [Line Items] Commitments And Contingencies [Line Items] Authorized fund to be distributed to health care providers Authorized Fund To Be Distributed To Health Care Providers Percentage of reduction in spending by Medicare providers. Percentage of reduced payments to Medicare providers. Percentage of reduced payments to Medicare providers Percentage Of Reduced Payments To Medicare Providers Deferred payroll taxes Percentage Of Reduction In Spending By Medicare Providers Proceeds from legal settlements Proceeds From Legal Settlements Number of business segments Number Of Reportable Segments Schedule Of Segment Reporting Information By Segment [Table] Schedule Of Segment Reporting Information By Segment [Table] Consolidation Items Consolidation Items [Axis] Consolidation Items Consolidation Items [Domain] Operating Segments [Member] Operating Segments [Member] Segment Reporting Information [Line Items] Segment Reporting Information [Line Items] Cost of services revenues Operating income Other general and administrative expenses Other General And Administrative Expense Health Care Organization Revenue Net Of Patient Service Revenue Provisions [Abstract] Schedule Of Revenue Sources Health Care Organization [Table] Schedule Of Revenue Sources Health Care Organization [Table] Concentration Risk Benchmark Concentration Risk By Benchmark [Axis] Concentration Risk Benchmark Concentration Risk Benchmark [Domain] Revenues [Member] Sales Revenue Net [Member] Concentration Risk Type Concentration Risk By Type [Axis] Concentration Risk Type Concentration Risk Type [Domain] Customer Concentration Risk [Member] Customer Concentration Risk [Member] Health Care Trust Fund Health Care Trust Fund [Axis] Health Care Trust Fund, Name Health Care Trust Fund Name [Domain] State, Local And Other Governmental Programs [Member]. State, Local And Other Governmental Programs [Member] State Local And Other Governmental Programs [Member] Medicare. Medicare [Member] Medicare [Member] Managed Care Organizations. Managed Care Organizations [Member] Managed Care Organizations [Member] Private pay. Private Pay [Member] Private Pay [Member] Commercial insurance. Commercial Insurance [Member] Commercial Insurance [Member] Other. Other [Member] Other [Member] Concentration risk, percentage Concentration Risk Percentage1 Geographic Areas Revenues From External Customers [Abstract] Geographic Concentration Risk [Member] Geographic Concentration Risk [Member] Illinois [Member] ILLINOIS New York [Member] NEW YORK New Mexico [Member] NEW MEXICO All Other States. All Other States [Member] All Other States [Member] Concentration Risk [Table] Concentration Risk [Table] Illinois department on aging. Illinois Department On Aging [Member] Illinois Department On Aging [Member] Accounts Receivable [Member] Accounts Receivable [Member] Concentration Risk [Line Items] Concentration Risk [Line Items] Subsequent Event [Table] Subsequent Event [Table] Subsequent Event Type Subsequent Event Type [Axis] Subsequent Event Type Subsequent Event Type [Domain] Subsequent Event [Member] Subsequent Event [Member] Second amendment credit agreement. Second Amendment Credit Agreement [Member] Second Amendment Credit Agreement [Member] Armada Skilled Homecare. Armada Skilled Homecare [Member] Armada Skilled Homecare [Member] Subsequent Event [Line Items] Subsequent Event [Line Items] Line of credit outstanding amount Revolving credit facility maturity term Line Of Credit Facility Expiration Date1