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Basis Of Presentation (Narrative) (Details)
$ in Thousands
 3 Months Ended 9 Months Ended 12 Months Ended 14 Months Ended
Mar. 27, 2020
USD ($)
Sep. 30, 2021
USD ($)
item
Sep. 30, 2020
USD ($)
Sep. 30, 2021
USD ($)
item
Sep. 30, 2020
USD ($)
Dec. 31, 2019
USD ($)
Jun. 30, 2021
Dec. 31, 2020
USD ($)
Apr. 10, 2020
USD ($)
Deferred payroll taxes         $ 22,941        
Revenue   $ 538,667 $ 528,297 $ 1,598,283 $ 1,546,294        
Number of cloud computing arrangements | item   2   2          
Effective tax rate   24.50% 17.00% 23.70% 17.80%        
Excess tax benefit on stock options reduced income tax expense   $ 1,200 $ 7,200 $ 5,300 $ 19,900        
Capitalized property and equipment   1,000   1,000       $ 3,900  
CARES Act [Member]                  
Deferred payroll taxes $ 36,400                
Deferred payroll taxes, short-term liability 18,200                
Deferred payroll taxes, long-term liability 18,200                
Relief Fund 100,000,000                
CARES Act - 2019 Medicare Fee-For-Service [Member]                  
Relief Fund $ 30,000,000                
Cloud Computing [Member]                  
Capitalized contract cost   8,900   8,900          
VITAS [Member]                  
Percentage of Medicare sequestration reimbursement             2.00%    
Revenue   6,000   17,900          
VITAS [Member] | CARES Act - 2019 Medicare Fee-For-Service [Member]                  
Relief Fund                 $ 80,200
VITAS [Member] | Cloud Computing [Member]                  
Capitalized contract cost, amortization expense   $ 249 282 $ 697 $ 807        
Capitalized contract cost, amortization period   5 years   5 years          
Roto-Rooter [Member]                  
Total purchase price           $ 138,000      
Roto-Rooter [Member] | Cloud Computing [Member]                  
Capitalized contract cost, amortization expense   $ 15 $ 84 $ 15          
Reacquired Franchise Rights [Member] | Roto-Rooter [Member]                  
Total purchase price       59,200          
Amortization of business combinations       2,000          
Franchise fees       $ 470          
Average remaining life       7 years          
Reacquired Franchise Rights [Member] | Roto-Rooter [Member] | Annualized Through 2026 [Member]                  
Amortization of business combinations       $ 8,100          
Reacquired Franchise Rights [Member] | Roto-Rooter [Member] | Annualized [Member]                  
Franchise fees       $ 1,900