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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