XML 51 R39.htm IDEA: XBRL DOCUMENT v3.23.1
Revenue Recognition (Narrative) (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Dec. 31, 2013
Revenue Recognition [line items]      
Service revenue and sales $ 560,157,000 $ 530,549,000  
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 penalty 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 $ 2,000,000.0 2,000,000.0  
Percentage of automatic budget reductions     2.00%
Percentage of medicaid reimbursement 95.00%    
Percentage of expenses 5.00%    
Service revenue and sales $ 0    
Accounts Receivable, Sale $ 0    
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 $ 2,800,000    
VITAS [Member] | Three Program Projected Measurement Period Liability [Member]      
Revenue Recognition [line items]      
Additional Medicare cap adjustment related to prior cap liabilities     $ 9,000,000.0
VITAS [Member] | Four Programs Projected Measurement Period Liability [Member]      
Revenue Recognition [line items]      
Medicare cap adjustment   $ 2,500,000