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Revenue Recognition (Schedule Of Patient Care Service Revenue) (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue $ 1,231,010 $ 1,289,433 $ 1,368,489
Net revenue 1,201,564 1,261,246 1,334,667
Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 1,039,211 1,069,766 1,106,358
Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 77,000 94,338 136,011
Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 102,361 113,187 114,956
Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 1,218,572 1,277,291 1,357,325
All Other Revenue- Self-pay, Respite Care, Etc. [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 12,438 12,142 11,164
Medicare Cap Adjustment [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Medicare cap adjustment (7,868) (6,597) (6,678)
Implicit Price Concessions [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Implicit price concessions (12,004) (11,530) (14,970)
Room And Board, Net [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Room and board, net (9,574) (10,060) (12,174)
Medicare [Member] | Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 973,206 997,846 1,033,487
Medicare [Member] | Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 70,712 85,626 123,696
Medicare [Member] | Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 89,866 98,243 100,259
Medicare [Member] | Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 1,133,784 1,181,715 1,257,442
Medicaid [Member] | Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 43,340 46,785 48,813
Medicaid [Member] | Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 3,159 4,689 6,344
Medicaid [Member] | Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 7,533 9,486 9,646
Medicaid [Member] | Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 54,032 60,960 64,803
Commercial [Member] | Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 22,665 25,135 24,058
Commercial [Member] | Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 3,129 4,023 5,971
Commercial [Member] | Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 4,962 5,458 5,051
Commercial [Member] | Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue $ 30,756 $ 34,616 $ 35,080