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Segments And Nature Of The Business (Segment Data) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Segment Reporting Information [Line Items]      
Net income $ 219,923 $ 205,544 $ 98,177
Total interest income 513 671 427
Total interest expense 4,535 4,990 4,272
Total income tax provision 41,686 34,056 18,740
Total identifiable assets 1,268,317 975,529 920,026
Total additions to long-lived assets 189,024 105,883 69,338
Total depreciation and amortization 45,205 38,863 35,625
Operating Segments [Member]      
Segment Reporting Information [Line Items]      
Net income 259,532 237,557 130,944
Total interest income 26,800 20,412 17,679
Total interest expense 514 494 511
Total income tax provision 78,987 69,697 49,218
Total identifiable assets 1,170,935 904,979 839,967
Total additions to long-lived assets 188,024 105,755 68,855
Total depreciation and amortization 45,049 38,716 35,420
Intercompany Eliminations [Member]      
Segment Reporting Information [Line Items]      
Total interest income (26,287) (19,741) (17,252)
VITAS [Member] | Operating Segments [Member]      
Segment Reporting Information [Line Items]      
Net income 155,822 138,846 57,645
Total interest income 18,515 13,412 12,044
Total interest expense 169 175 188
Total income tax provision 48,711 40,847 16,436
Total identifiable assets 663,455 553,949 545,304
Total additions to long-lived assets 25,530 36,969 23,469
Total depreciation and amortization 20,055 19,700 18,630
Roto-Rooter [Member] | Operating Segments [Member]      
Segment Reporting Information [Line Items]      
Net income 103,710 98,711 73,299
Total interest income 8,285 7,000 5,635
Total interest expense 345 319 323
Total income tax provision 30,276 28,850 32,782
Total identifiable assets 507,480 351,030 294,663
Total additions to long-lived assets 162,494 68,786 45,386
Total depreciation and amortization 24,994 19,016 16,790
Corporate [Member]      
Segment Reporting Information [Line Items]      
Net income (39,609) (32,013) (32,767)
Total interest expense 4,021 4,496 3,761
Total income tax provision (37,301) (35,641) (30,478)
Total identifiable assets 97,382 70,550 80,059
Total additions to long-lived assets 1,000 128 483
Total depreciation and amortization $ 156 $ 147 $ 205
Sales Revenue [Member] | VITAS [Member]      
Segment Reporting Information [Line Items]      
Concentration risk, percentage 66.00% 67.00% 69.00%
Sales Revenue [Member] | Roto-Rooter [Member]      
Segment Reporting Information [Line Items]      
Concentration risk, percentage 34.00% 33.00% 31.00%