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Revenue Recognition (Schedule Of Patient Care Service Revenue) (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | $ 399,148 | $ 340,801 | $ 1,145,473 | $ 989,658
Net revenue | 391,406 | 333,728 | 1,119,970 | 965,066
Routine Home Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 338,344 | 287,389 | 967,981 | 832,554
Inpatient Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 29,923 | 27,818 | 89,297 | 84,312
Continuous Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 25,799 | 22,032 | 74,295 | 63,054
Care Services Total [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 394,066 | 337,239 | 1,131,573 | 979,920
All Other Revenue- Self-pay, Respite Care, Etc. [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 5,082 | 3,562 | 13,900 | 9,738
Medicare Cap Adjustment [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Medicare cap adjustment | (2,239) | (125) | (5,989) | (5,625)
Implicit Price Concessions [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Implicit price concessions | (2,167) | (4,302) | (10,077) | (10,650)
Room And Board, Net [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Room and board, net | (3,336) | (2,646) | (9,437) | (8,317)
Medicare [Member] | Routine Home Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 319,151 | 269,954 | 911,197 | 781,639
Medicare [Member] | Inpatient Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 25,647 | 23,983 | 76,905 | 73,402
Medicare [Member] | Continuous Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 23,657 | 20,160 | 68,649 | 58,071
Medicare [Member] | Care Services Total [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 368,455 | 314,097 | 1,056,751 | 913,112
Medicaid [Member] | Routine Home Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 12,013 | 11,187 | 36,691 | 33,143
Medicaid [Member] | Inpatient Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 2,111 | 2,197 | 6,740 | 6,477
Medicaid [Member] | Continuous Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 942 | 870 | 2,588 | 2,384
Medicaid [Member] | Care Services Total [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 15,066 | 14,254 | 46,019 | 42,004
Commercial [Member] | Routine Home Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 7,180 | 6,248 | 20,093 | 17,772
Commercial [Member] | Inpatient Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 2,165 | 1,638 | 5,652 | 4,433
Commercial [Member] | Continuous Care [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | 1,200 | 1,002 | 3,058 | 2,599
Commercial [Member] | Care Services Total [Member] |  |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |  |
Care service revenue | $ 10,545 | $ 8,888 | $ 28,803 | $ 24,804

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