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Revenue Recognition (Narrative) (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2013
Revenue Recognition [line items] |  |  |  |
Medicare cap liability | $ 13,245 | $ 14,380 |  |
Service revenue and sales | $ 2,264,417 | 2,134,963 | $ 2,139,261 |
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 | $ 8,100 | 7,800 | 8,500 |
Percentage of automatic budget reductions |  |  |  | 2.00%
Medicare cap liability | $ 13,200 | 14,400 |  |
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 |  |  | $ 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] | Two Programs and Six Programs Projected Measurement Period Liability [Member] |  |  |  |
Revenue Recognition [line items] |  |  |  |
Medicare cap adjustment | $ 8,000 |  |  |
VITAS [Member] | Three Program Projected Measurement Period Liability [Member] |  |  |  |
Revenue Recognition [line items] |  |  |  |
Additional Medicare cap adjustment related to prior cap liabilities |  |  |  | $ 9,000

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