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Revenue Recognition (Schedule Of Patient Care Service Revenue) (Details) - USD ($)
$ in Thousands
 12 Months Ended
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