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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