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Goodwill and Intangible Assets (Narrative) (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Mar. 09, 2024
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Goodwill [Line Items]            
Goodwill   $ 663,614   $ 663,614   $ 662,995
Amortization expense   $ 1,800 $ 1,800 5,400 $ 5,300  
Total purchase price for business acquisition       $ 400 $ 109,800  
Weighted average remaining useful lives of identifiable intangible assets   10 years   10 years    
Minimum [Member]            
Goodwill [Line Items]            
Intangible assets, estimated useful lives   1 year   1 year    
Minimum [Member] | Customer and Referral Relationships [Member]            
Goodwill [Line Items]            
Intangible assets, estimated useful lives   5 years   5 years    
Maximum [Member]            
Goodwill [Line Items]            
Intangible assets, estimated useful lives   20 years   20 years    
Maximum [Member] | Customer and Referral Relationships [Member]            
Goodwill [Line Items]            
Intangible assets, estimated useful lives   10 years   10 years    
Personal Care [Member]            
Goodwill [Line Items]            
Goodwill   $ 153,676   $ 153,676   $ 153,276
Upstate Home Care Solutions [Member]            
Goodwill [Line Items]            
Total purchase price for business acquisition $ 400          
Upstate Home Care Solutions [Member] | Personal Care [Member]            
Goodwill [Line Items]            
Goodwill   $ 400   $ 400