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Segments And Nature Of The Business (Segment Data) (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting Information [Line Items] |  |  |
Service revenues and sales | $ 2,431,287 | $ 2,264,417 | $ 2,134,963
Wages | 1,163,483 | 1,073,424 | 996,099
Patient care expense | 148,165 | 126,259 | 116,343
Other expenses | 265,291 | 265,919 | 257,435
Total cost of services provided and goods sold | 1,576,939 | 1,465,602 | 1,369,877
Wages | 167,790 | 163,566 | 155,371
Advertising | 73,147 | 67,709 | 61,630
Stock compensation | 52,185 | 41,771 | 34,055
Other expenses | 131,238 | 122,074 | 107,671
Total selling, general and administrative expense | 424,360 | 395,120 | 358,727
Depreciation | 52,864 | 50,802 | 49,102
Amortization | 10,185 | 10,063 | 10,070
Other operating expenses (Note 20) | 446 | 2,261 | 3,691
Total costs and expense | 2,064,794 | 1,923,848 | 1,791,467
Income from operations | 366,493 | 340,569 | 343,496
Interest expense | (1,780) | (3,108) | (4,584)
Other income - net | 34,752 | 12,906 | (9,233)
Income before income taxes | 399,465 | 350,367 | 329,679
Income taxes | (97,466) | (77,858) | (80,055)
Net income | 301,999 | 272,509 | 249,624
Identifiable assets | 1,668,575 | 1,668,095 | 1,442,012
Additions to long-lived assets | 147,178 | 61,238 | 61,868
Operating Segments [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Service revenues and sales | 2,431,287 | 2,264,417 | 2,134,963
Wages | 1,163,483 | 1,073,424 | 996,099
Patient care expense | 148,165 | 126,259 | 116,343
Other expenses | 265,291 | 265,919 | 257,435
Total cost of services provided and goods sold | 1,576,939 | 1,465,602 | 1,369,877
Wages | 150,658 | 145,573 | 137,820
Advertising | 73,147 | 67,709 | 61,630
Other expenses | 108,611 | 111,601 | 111,994
Total selling, general and administrative expense | 332,416 | 324,883 | 311,444
Depreciation | 52,814 | 50,749 | 49,030
Amortization | 10,185 | 10,063 | 10,070
Other operating expenses (Note 20) | 446 | 2,261 | 3,691
Total costs and expense | 1,972,800 | 1,853,558 | 1,744,112
Income from operations | 458,487 | 410,859 | 390,851
Interest expense | (602) | (622) | (568)
Intercompany interest income/(expense) | 34,608 | 31,318 | 28,246
Other income - net | 296 | 1,435 | 738
Income before income taxes | 492,789 | 442,990 | 419,267
Income taxes | (115,924) | (96,240) | (101,695)
Net income | 376,865 | 346,750 | 317,572
Identifiable assets | 1,368,644 | 1,302,400 | 1,262,907
Additions to long-lived assets | 146,903 | $ 60,964 | $ 61,691
VITAS [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Service revenues and sales | $ 0 |  |
Percentage of segment revenue | 63.00% | 58.00% | 56.00%
VITAS [Member] | Operating Segments [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Service revenues and sales | $ 1,530,978 | $ 1,315,065 | $ 1,201,564
Wages | 860,025 | 766,264 | 694,419
Patient care expense | 148,165 | 126,259 | 116,343
Other expenses | 138,613 | 125,100 | 121,099
Total cost of services provided and goods sold | 1,146,803 | 1,017,623 | 931,861
Wages | 69,139 | 62,503 | 55,416
Other expenses | 30,425 | 30,793 | 33,771
Total selling, general and administrative expense | 99,564 | 93,296 | 89,187
Depreciation | 20,362 | 19,959 | 21,955
Amortization | 105 | 104 | 101
Other operating expenses (Note 20) | 178 | (12) | 3,337
Total costs and expense | 1,267,012 | 1,130,970 | 1,046,441
Income from operations | 263,966 | 184,095 | 155,123
Interest expense | (171) | (180) | (172)
Intercompany interest income/(expense) | 20,211 | 19,400 | 18,901
Other income - net | 227 | 1,309 | 600
Income before income taxes | 284,233 | 204,624 | 174,452
Income taxes | (67,414) | (46,115) | (43,000)
Net income | 216,819 | 158,509 | 131,452
Identifiable assets | 839,568 | 778,950 | 750,483
Additions to long-lived assets | $ 108,629 | $ 17,450 | $ 22,580
Roto-Rooter [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Percentage of segment revenue | 37.00% | 42.00% | 44.00%
Roto-Rooter [Member] | Operating Segments [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Service revenues and sales | $ 900,309 | $ 949,352 | $ 933,399
Wages | 303,458 | 307,160 | 301,680
Other expenses | 126,678 | 140,819 | 136,336
Total cost of services provided and goods sold | 430,136 | 447,979 | 438,016
Wages | 81,519 | 83,070 | 82,404
Advertising | 73,147 | 67,709 | 61,630
Other expenses | 78,186 | 80,808 | 78,223
Total selling, general and administrative expense | 232,852 | 231,587 | 222,257
Depreciation | 32,452 | 30,790 | 27,075
Amortization | 10,080 | 9,959 | 9,969
Other operating expenses (Note 20) | 268 | 2,273 | 354
Total costs and expense | 705,788 | 722,588 | 697,671
Income from operations | 194,521 | 226,764 | 235,728
Interest expense | (431) | (442) | (396)
Intercompany interest income/(expense) | 14,397 | 11,918 | 9,345
Other income - net | 69 | 126 | 138
Income before income taxes | 208,556 | 238,366 | 244,815
Income taxes | (48,510) | (50,125) | (58,695)
Net income | 160,046 | 188,241 | 186,120
Identifiable assets | 529,076 | 523,450 | 512,424
Additions to long-lived assets | 38,274 | 43,514 | 39,111
Corporate [Member] | Operating Segments [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Wages | 17,132 | 17,993 | 17,551
Stock compensation | 52,185 | 41,771 | 34,055
Other expenses | 22,627 | 10,473 | (4,323)
Total selling, general and administrative expense | 91,944 | 70,237 | 47,283
Depreciation | 50 | 53 | 72
Total costs and expense | 91,994 | 70,290 | 47,355
Income from operations | (91,994) | (70,290) | (47,355)
Interest expense | (1,178) | (2,486) | (4,016)
Intercompany interest income/(expense) | (34,608) | (31,318) | (28,246)
Other income - net | 34,456 | 11,471 | (9,971)
Income before income taxes | (93,324) | (92,623) | (89,588)
Income taxes | 18,458 | 18,382 | 21,640
Net income | (74,866) | (74,241) | (67,948)
Identifiable assets | 299,931 | 365,695 | 179,105
Additions to long-lived assets | $ 275 | $ 274 | $ 177

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