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Segments And Nature Of The Business (Service Revenues And Sales And After-Tax Earnings By Business Segment) (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Segment Reporting Information [Line Items]      
Net sales and service revenues $ 1,430,043 $ 1,355,970 $ 1,280,545
Net income 89,304 85,979 81,831
Total interest income 809 426 444
Total interest expense 14,723 13,888 11,959
Total income tax provision 56,515 54,577 52,000
Assets 859,626 795,905 830,161
Total additions to long-lived assets 41,152 33,796 35,545
Total depreciation and amortization 30,521 29,499 29,043
VITAS [Member]
     
Segment Reporting Information [Line Items]      
Percentage of revenue from Medicaid and Medicare programs 90.00%    
Net income 86,577 80,358 79,796
Total interest income 3,883 4,293 4,852
Total interest expense 233 229 131
Total income tax provision 53,092 48,835 48,601
Assets 519,555 504,677 531,247
Total additions to long-lived assets 24,735 24,298 17,492
Total depreciation and amortization 19,043 18,480 18,900
Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net income 30,905 34,879 31,678
Total interest income 1,647 2,176 2,661
Total interest expense 433 358 233
Total income tax provision 18,770 21,353 19,547
Assets 224,735 212,234 205,601
Total additions to long-lived assets 16,132 9,426 18,035
Total depreciation and amortization 9,029 8,729 8,289
Corporate [Member]
     
Segment Reporting Information [Line Items]      
Net income (28,178) (29,258) (29,643)
Total interest income 76 91 175
Total interest expense 14,057 13,301 11,595
Total income tax provision (15,347) (15,611) (16,148)
Assets 115,336 78,994 93,313
Total additions to long-lived assets 285 72 18
Total depreciation and amortization 2,449 2,290 1,854
Intercompany Eliminations [Member]
     
Segment Reporting Information [Line Items]      
Total interest income (4,797) (6,134) (7,244)
Routine Homecare [Member] | VITAS [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 778,776 718,658 666,562
Continuous Care [Member] | VITAS [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 172,063 158,466 153,050
General Inpatient [Member] | VITAS [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 114,494 110,742 105,588
Medicare Cap [Member] | VITAS [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 1,704 (1,594) 610
Sewer And Drain Cleaning [Member] | Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 138,500 138,932 135,704
Plumbing Repair And Maintenance [Member] | Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 172,310 177,363 168,625
Independent Contractors [Member] | Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 28,522 26,711 22,943
HVAC Repair And Maintenance [Member] | Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 1,109 3,410 4,183
Segment Total [Member] | VITAS [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 1,067,037 986,272 925,810
Segment Total [Member] | Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues 363,006 369,698 354,735
Segment Total [Member] | VITAS And Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net income 117,482 115,237 111,474
Total interest income 5,530 6,469 7,513
Total interest expense 666 587 364
Total income tax provision 71,862 70,188 68,148
Assets 744,290 716,911 736,848
Total additions to long-lived assets 40,867 33,724 35,527
Total depreciation and amortization 28,072 27,209 27,189
Other Products And Services [Member] | Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Net sales and service revenues $ 22,565 $ 23,282 $ 23,280
Sales [Member] | VITAS [Member]
     
Segment Reporting Information [Line Items]      
Relative contribution of each segment to service revenues and sales (Percentage) 75.00% 73.00%  
Sales [Member] | Roto-Rooter [Member]
     
Segment Reporting Information [Line Items]      
Relative contribution of each segment to service revenues and sales (Percentage) 25.00% 27.00%