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Segments (Segment Data) (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Segment Reporting Information [Line Items]        
Service revenues and sales $ 624,900 $ 606,181 $ 1,890,641 $ 1,791,294
Wages 312,349 292,946 942,503 860,772
Patient care expense 43,269 37,188 124,656 108,887
Other expenses 72,375 66,053 225,469 201,405
Total cost of services provided and goods sold 427,993 396,187 1,292,628 1,171,064
Wages 44,466 40,280 128,433 123,562
Advertising 19,542 18,420 56,654 55,271
Stock compensation 5,851 9,121 27,668 39,730
Other expenses 35,916 34,160 98,930 101,546
Total selling, general and administrative expense 105,775 101,981 311,685 320,109
Depreciation 13,664 13,147 40,798 39,601
Amortization 2,570 2,550 7,713 7,617
Other operating expense/(income) 148 159 225 288
Total costs and expense 550,150 514,024 1,653,049 1,538,679
Income from operations 74,750 92,157 237,592 252,615
Interest expense (457) (427) (1,229) (1,281)
Other income - net 9,251 9,299 13,970 28,008
Income before income taxes 83,544 101,029 250,333 279,342
Income taxes (19,307) (25,253) (61,846) (67,662)
Net income 64,237 75,776 188,487 211,680
Additions to long-lived assets 17,499 18,646 47,074 134,408
Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 624,900 606,181 1,890,641 1,791,294
Wages 312,349 292,946 942,503 860,772
Patient care expense 43,269 37,188 124,656 108,887
Other expenses 72,375 66,053 225,469 201,405
Total cost of services provided and goods sold 427,993 396,187 1,292,628 1,171,064
Wages 38,026 36,637 114,514 111,612
Advertising 19,542 18,420 56,654 55,271
Other expenses 28,340 27,898 89,549 82,768
Total selling, general and administrative expense 85,908 82,955 260,717 249,651
Depreciation 13,652 13,134 40,762 39,563
Amortization 2,570 2,550 7,713 7,617
Other operating expense/(income) 148 159 225 288
Total costs and expense 530,271 494,985 1,602,045 1,468,183
Income from operations 94,629 111,196 288,596 323,111
Interest expense (188) (160) (544) (487)
Intercompany interest income/(expense) 9,715 8,576 28,366 25,734
Other income - net 86 80 228 202
Income before income taxes 104,242 119,692 316,646 348,560
Income taxes (25,400) (28,251) (77,697) (82,527)
Net income 78,842 91,441 238,949 266,033
Additions to long-lived assets 17,489 18,546 47,059 134,137
Corporate [Member]        
Segment Reporting Information [Line Items]        
Wages 6,440 3,643 13,919 11,950
Stock compensation 5,851 9,121 27,668 39,730
Other expenses 7,576 6,262 9,381 18,778
Total selling, general and administrative expense 19,867 19,026 50,968 70,458
Depreciation 12 13 36 38
Total costs and expense 19,879 19,039 51,004 70,496
Income from operations (19,879) (19,039) (51,004) (70,496)
Interest expense (269) (267) (685) (794)
Intercompany interest income/(expense) (9,715) (8,576) (28,366) (25,734)
Other income - net 9,165 9,219 13,742 27,806
Income before income taxes (20,698) (18,663) (66,313) (69,218)
Income taxes 6,093 2,998 15,851 14,865
Net income (14,605) (15,665) (50,462) (54,353)
Additions to long-lived assets 10 100 15 271
VITAS [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 407,741 391,406 1,211,341 1,119,970
VITAS [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 407,741 391,406 1,211,341 1,119,970
Wages 239,357 222,868 716,335 639,103
Patient care expense 43,269 37,188 124,656 108,887
Other expenses 38,239 34,880 113,325 104,357
Total cost of services provided and goods sold 320,865 294,936 954,316 852,347
Wages 16,904 17,658 51,188 51,556
Other expenses 8,332 8,225 25,673 22,412
Total selling, general and administrative expense 25,236 25,883 76,861 73,968
Depreciation 5,354 5,063 15,863 15,288
Amortization 26 26 78 79
Other operating expense/(income) 186 97 305 160
Total costs and expense 351,667 326,005 1,047,423 941,842
Income from operations 56,074 65,401 163,918 178,128
Interest expense (56) (46) (150) (138)
Intercompany interest income/(expense) 5,685 4,920 16,436 15,096
Other income - net 61 62 170 138
Income before income taxes 61,764 70,337 180,374 193,224
Income taxes (14,993) (16,851) (45,353) (46,517)
Net income 46,771 53,486 135,021 146,707
Additions to long-lived assets 10,850 7,768 22,234 104,337
Roto-Rooter [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 217,159 214,775 679,300 671,324
Roto-Rooter [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 217,159 214,775 679,300 671,324
Wages 72,992 70,078 226,168 221,669
Other expenses 34,136 31,173 112,144 97,048
Total cost of services provided and goods sold 107,128 101,251 338,312 318,717
Wages 21,122 18,979 63,326 60,056
Advertising 19,542 18,420 56,654 55,271
Other expenses 20,008 19,673 63,876 60,356
Total selling, general and administrative expense 60,672 57,072 183,856 175,683
Depreciation 8,298 8,071 24,899 24,275
Amortization 2,544 2,524 7,635 7,538
Other operating expense/(income) (38) 62 (80) 128
Total costs and expense 178,604 168,980 554,622 526,341
Income from operations 38,555 45,795 124,678 144,983
Interest expense (132) (114) (394) (349)
Intercompany interest income/(expense) 4,030 3,656 11,930 10,638
Other income - net 25 18 58 64
Income before income taxes 42,478 49,355 136,272 155,336
Income taxes (10,407) (11,400) (32,344) (36,010)
Net income 32,071 37,955 103,928 119,326
Additions to long-lived assets $ 6,639 $ 10,778 $ 24,825 $ 29,800