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Segments (Segment Data) (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Dec. 31, 2024
Segment Reporting Information [Line Items]      
Service revenues and sales $ 646,943 $ 589,233  
Wages 312,644 281,958  
Patient care expense 40,379 35,074  
Other expenses 77,507 68,095  
Total cost of services provided and goods sold 430,530 385,127  
Wages 43,445 41,544  
Advertising 18,169 19,524  
Stock compensation 11,748 18,147  
Other expenses 32,225 36,658  
Total selling, general and administrative expense 105,587 115,873  
Depreciation 13,445 13,287  
Amortization 2,572 2,521  
Other operating expense/(income) 51 92  
Total costs and expense 552,185 516,900  
Income from operations 94,758 72,333  
Interest expense (329) (425)  
Other income - net 1,245 12,577  
Income before income taxes 95,674 84,485  
Income taxes (23,917) (19,468)  
Net income 71,757 65,017  
Identifiable assets 1,726,515 1,727,633 $ 1,668,575
Additions to long-lived assets 13,765 19,332  
Operating Segments [Member]      
Segment Reporting Information [Line Items]      
Service revenues and sales 646,943 589,233  
Wages 312,644 281,958  
Patient care expense 40,379 35,074  
Other expenses 77,507 68,095  
Total cost of services provided and goods sold 430,530 385,127  
Wages 38,714 37,604  
Advertising 18,169 19,524  
Other expenses 32,304 27,924  
Total selling, general and administrative expense 89,187 85,052  
Depreciation 13,433 13,274  
Amortization 2,572 2,521  
Other operating expense/(income) 51 92  
Total costs and expense 535,773 486,066  
Income from operations 111,170 103,167  
Interest expense (180) (163)  
Intercompany interest income/(expense) 9,226 8,636  
Other income - net 58 51  
Income before income taxes 120,274 111,691  
Income taxes (30,300) (26,868)  
Net income 89,974 84,823  
Identifiable assets 1,422,438 1,296,854  
Additions to long-lived assets 13,765 19,325  
Corporate [Member]      
Segment Reporting Information [Line Items]      
Wages 4,731 3,940  
Stock compensation 11,748 18,147  
Other expenses (79) 8,734  
Total selling, general and administrative expense 16,400 30,821  
Depreciation 12 13  
Total costs and expense 16,412 30,834  
Income from operations (16,412) (30,834)  
Interest expense (149) (262)  
Intercompany interest income/(expense) (9,226) (8,636)  
Other income - net 1,187 12,526  
Income before income taxes (24,600) (27,206)  
Income taxes 6,383 7,400  
Net income (18,217) (19,806)  
Identifiable assets $ 304,077 430,779  
Additions to long-lived assets   $ 7  
VITAS [Member]      
Segment Reporting Information [Line Items]      
Percentage of segment revenue 63.00% 60.00%  
Service revenues and sales $ 407,400 $ 354,007  
VITAS [Member] | Operating Segments [Member]      
Segment Reporting Information [Line Items]      
Service revenues and sales 407,400 354,007  
Wages 235,173 203,424  
Patient care expense 40,379 35,074  
Other expenses 37,255 33,398  
Total cost of services provided and goods sold 312,807 271,896  
Wages 17,527 16,529  
Other expenses 9,011 7,263  
Total selling, general and administrative expense 26,538 23,792  
Depreciation 5,196 5,166  
Amortization 26 26  
Other operating expense/(income) 64 7  
Total costs and expense 344,631 300,887  
Income from operations 62,769 53,120  
Interest expense (48) (46)  
Intercompany interest income/(expense) 5,296 5,194  
Other income - net 48 29  
Income before income taxes 68,065 58,297  
Income taxes (18,035) (14,327)  
Net income 50,030 43,970  
Identifiable assets 886,705 772,631  
Additions to long-lived assets $ 9,476 $ 13,470  
Roto-Rooter [Member]      
Segment Reporting Information [Line Items]      
Percentage of segment revenue 37.00% 40.00%  
Service revenues and sales $ 239,543 $ 235,226  
Roto-Rooter [Member] | Operating Segments [Member]      
Segment Reporting Information [Line Items]      
Service revenues and sales 239,543 235,226  
Wages 77,471 78,534  
Other expenses 40,252 34,697  
Total cost of services provided and goods sold 117,723 113,231  
Wages 21,187 21,075  
Advertising 18,169 19,524  
Other expenses 23,293 20,661  
Total selling, general and administrative expense 62,649 61,260  
Depreciation 8,237 8,108  
Amortization 2,546 2,495  
Other operating expense/(income) (13) 85  
Total costs and expense 191,142 185,179  
Income from operations 48,401 50,047  
Interest expense (132) (117)  
Intercompany interest income/(expense) 3,930 3,442  
Other income - net 10 22  
Income before income taxes 52,209 53,394  
Income taxes (12,265) (12,541)  
Net income 39,944 40,853  
Identifiable assets 535,733 524,223  
Additions to long-lived assets $ 4,289 $ 5,855