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ARPA Spending Plans (Narrative) (Details) - USD ($)
$ in Thousands
12 Months Ended
Mar. 11, 2021
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Government Assistance [Line Items]        
Net service revenues   $ 1,154,599 $ 1,058,651 $ 951,120
ARPA [Member]        
Government Assistance [Line Items]        
Relief funding to mitigate fiscal effects of COVID-19 $ 350,000,000      
Aggregate funding amount   15,700 3,700  
Fund distributed to primarily for caregivers and retention efforts   10,200 10,500  
Deferred portion of spending plans   $ 11,200 $ 5,800