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Basis Of Presentation (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Excess tax benefit on stock options $ 389 $ 225 $ 4,300 $ 3,400  
Income tax expense (benefit) resulting from realignment of state and local tax structure   $ (4,200)      
Effective tax rate 25.00% 19.60% 24.20% 22.30%  
Capitalized property and equipment $ 323   $ 323   $ 690
VITAS [Member] | Cloud Computing [Member]          
Capitalized contract cost 5,600   5,600    
Capitalized contract cost, amortization expense $ 249 $ 249 $ 746 $ 746  
Capitalized contract cost, amortization period 5 years 8 months 12 days   5 years 8 months 12 days