XML 72 R54.htm IDEA: XBRL DOCUMENT v3.22.4
Revenue Recognition (Narrative) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2013
Revenue Recognition [line items]        
Medicare cap liability $ 14,380 $ 13,517    
Roto-Rooter [Member]        
Revenue Recognition [line items]        
Credit payment terms 30 days      
Duration of advance notice of cancellation without penalty for both parties 90 days      
Term of contract 10 years      
Duration of advance notice of cancelation without penatly 60 days      
Roto-Rooter [Member] | Maximum [Member]        
Revenue Recognition [line items]        
Duration of services provided 5 days      
Roto-Rooter [Member] | Minimum [Member]        
Revenue Recognition [line items]        
Duration of services provided 3 days      
VITAS [Member]        
Revenue Recognition [line items]        
Period of tier one care rate 60 days      
Period of tier two care rate 61 days      
Period of services provided after discharge 12 months      
Period of service intensity add-on payment 7 days      
Reimbursement period per day in 15 min. increments 4 hours      
Minimum amount of care per 24-hr period 8 hours      
Charity care cost $ 7,800 8,500 $ 8,100  
Percentage of automatic budget reductions       2.00%
Medicare cap liability $ 14,400 13,500    
Percentage of medicaid reimbursement 95.00%      
Percentage of expenses 5.00%      
VITAS [Member] | Adoption of ASC 606 [Member]        
Revenue Recognition [line items]        
Percentage of expenses 5.00%      
VITAS [Member] | Maximum [Member]        
Revenue Recognition [line items]        
Inpatient cap percentage 20.00%      
VITAS [Member] | Two Program Projected Measurement Period Liability [Member]        
Revenue Recognition [line items]        
Medicare cap adjustment   $ 6,600    
VITAS [Member] | Two Programs and Five Programs Projected Measurement Period Liability [Member]        
Revenue Recognition [line items]        
Medicare cap adjustment $ 7,900      
VITAS [Member] | Three Program Projected Measurement Period Liability [Member]        
Revenue Recognition [line items]        
Additional Medicare cap adjustment related to prior cap liabilities       $ 9,000
VITAS [Member] | Four Programs Projected Measurement Period Liability [Member]        
Revenue Recognition [line items]        
Medicare cap adjustment     $ 6,700