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Revenue Recognition (Schedule Of Patient Care Service Revenue) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue $ 1,348,112 $ 1,231,010 $ 1,289,433
Net revenue 1,315,065 1,201,564 1,261,246
Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 1,136,437 1,039,211 1,069,766
Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 85,674 77,000 94,338
Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 112,419 102,361 113,187
Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 1,334,530 1,218,572 1,277,291
All Other Revenue- Self-pay, Respite Care, Etc. [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 13,582 12,438 12,142
Medicare Cap Adjustment [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Medicare cap adjustment (8,000) (7,868) (6,597)
Implicit Price Concessions [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Implicit price concessions (14,196) (12,004) (11,530)
Room And Board, Net [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Room and board, net (10,851) (9,574) (10,060)
Medicare [Member] | Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 1,067,629 973,206 997,846
Medicare [Member] | Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 78,994 70,712 85,626
Medicare [Member] | Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 97,873 89,866 98,243
Medicare [Member] | Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 1,244,496 1,133,784 1,181,715
Medicaid [Member] | Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 44,833 43,340 46,785
Medicaid [Member] | Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 3,123 3,159 4,689
Medicaid [Member] | Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 8,698 7,533 9,486
Medicaid [Member] | Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 56,654 54,032 60,960
Commercial [Member] | Routine Home Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 23,975 22,665 25,135
Commercial [Member] | Continuous Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 3,557 3,129 4,023
Commercial [Member] | Inpatient Care [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue 5,848 4,962 5,458
Commercial [Member] | Care Services Total [Member]      
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Care service revenue $ 33,380 $ 30,756 $ 34,616