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Revenue Recognition (Schedule Of Patient Care Service Revenue) (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | $ 1,566,293 | $ 1,348,112 | $ 1,231,010
Net revenue | 1,530,978 | 1,315,065 | 1,201,564
Routine Home Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 1,326,488 | 1,136,437 | 1,039,211
Inpatient Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 120,604 | 112,419 | 102,361
Continuous Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 99,746 | 85,674 | 77,000
Care Services Total [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 1,546,838 | 1,334,530 | 1,218,572
All Other Revenue- Self-pay, Respite Care, Etc. [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 19,455 | 13,582 | 12,438
Medicare Cap Adjustment [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Medicare cap adjustment | (8,414) | (8,000) | (7,868)
Implicit Price Concessions [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Implicit price concessions | (13,597) | (14,196) | (12,004)
Room And Board, Net [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Room and board, net | (13,304) | (10,851) | (9,574)
Medicare [Member] | Routine Home Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 1,249,009 | 1,067,629 | 973,206
Medicare [Member] | Inpatient Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 103,868 | 97,873 | 89,866
Medicare [Member] | Continuous Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 92,417 | 78,994 | 70,712
Medicare [Member] | Care Services Total [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 1,445,294 | 1,244,496 | 1,133,784
Medicaid [Member] | Routine Home Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 49,807 | 44,833 | 43,340
Medicaid [Member] | Inpatient Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 8,900 | 8,698 | 7,533
Medicaid [Member] | Continuous Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 3,375 | 3,123 | 3,159
Medicaid [Member] | Care Services Total [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 62,082 | 56,654 | 54,032
Commercial [Member] | Routine Home Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 27,672 | 23,975 | 22,665
Commercial [Member] | Inpatient Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 7,836 | 5,848 | 4,962
Commercial [Member] | Continuous Care [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | 3,954 | 3,557 | 3,129
Commercial [Member] | Care Services Total [Member] |  |  |
Revenue Recognition, Multiple-deliverable Arrangements [Line Items] |  |  |
Care service revenue | $ 39,462 | $ 33,380 | $ 30,756

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