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Revenue Recognition (Narrative) (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Disaggregation of Revenue [Line Items] |  |  |
Medicare cap liability | $ 13,579 | $ 13,245 |
Service revenue and sales | $ 2,431,287 | 2,264,417 | $ 2,134,963
Roto-Rooter [Member] |  |  |
Disaggregation of Revenue [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] |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Duration of services provided | 5 days |  |
Roto-Rooter [Member] | Minimum [Member] |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Duration of services provided | 3 days |  |
VITAS [Member] |  |  |
Disaggregation of Revenue [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 | $ 9,200 | 8,100 | 7,800
Medicare cap liability | $ 13,600 | 13,200 |
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] |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Percentage of expenses | 5.00% |  |
VITAS [Member] | Maximum [Member] |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Inpatient cap percentage | 20.00% |  |
VITAS [Member] | Two Program Projected Measurement Period Liability [Member] |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Medicare cap adjustment | $ 8,400 |  |
VITAS [Member] | Two Programs and Five Programs Projected Measurement Period Liability [Member] |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Medicare cap adjustment |  |  | $ 7,900
VITAS [Member] | Two Programs and Six Programs Projected Measurement Period Liability [Member] |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Medicare cap adjustment |  | $ 8,000 |

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