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Goodwill and Intangible Assets (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 09, 2024
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Goodwill [Line Items]        
Goodwill   $ 663,391   $ 662,995
Total purchase price for business acquisition   400 $ 965  
Amortization expense   $ 1,800 $ 1,700  
Weighted average remaining useful lives of identifiable intangible assets   10 years 1 month 20 days    
Minimum [Member]        
Goodwill [Line Items]        
Intangible assets, estimated useful lives   1 year    
Minimum [Member] | Customer and Referral Relationships [Member]        
Goodwill [Line Items]        
Intangible assets, estimated useful lives   5 years    
Maximum [Member]        
Goodwill [Line Items]        
Intangible assets, estimated useful lives   20 years    
Maximum [Member] | Customer and Referral Relationships [Member]        
Goodwill [Line Items]        
Intangible assets, estimated useful lives   10 years    
Personal Care [Member]        
Goodwill [Line Items]        
Goodwill   $ 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