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v3.25.3

Revenue Recognition (Narrative) (Details) | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2025 USD ($) item | Sep. 30, 2024 USD ($) item | Sep. 30, 2025 USD ($) | Sep. 30, 2024 USD ($)
Disaggregation of Revenue [Line Items] |  |  |  |
Charity care cost | $ 2,300,000 | $ 2,400,000 | $ 6,700,000 | $ 6,800,000
Service revenue and sales | $ 624,900,000 | $ 606,181,000 | $ 1,890,641,000 | 1,791,294,000
Number of hospice programs exceededing payment limits on inpatient services | item | 0 | 0 |  |
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 |
Service revenue and sales | $ 407,741,000 | $ 391,406,000 | $ 1,211,341,000 | 1,119,970,000
Percentage of Medicaid reimbursement |  |  | 95.00% |
Percentage of expenses |  |  | 5.00% |
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% |
Roto-Rooter [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Service revenue and sales | $ 217,159,000 | $ 214,775,000 | $ 679,300,000 | $ 671,324,000
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 |
Charity Care [Member] | VITAS [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Service revenue and sales |  |  | $ 0 |

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