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Goodwill (Schedule of movement in Goodwill) (Details) - USD ($)
$ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2016
Dec. 31, 2015
Goodwill [Line Items]    
Beginning balance $ 472,322 $ 466,722
Business combinations   5,944
Foreign currency adjustments 96 (344)
Ending balance 472,418 472,322
Segment VITAS [Member]    
Goodwill [Line Items]    
Beginning balance 328,301 328,301
Business combinations  
Foreign currency adjustments
Ending balance 328,301 328,301
Roto-Rooter segment [Member]    
Goodwill [Line Items]    
Beginning balance 144,021 138,421
Business combinations   5,944
Foreign currency adjustments 96 (344)
Ending balance $ 144,117 $ 144,021