Revenue Recognition (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		12 Months Ended
	Mar. 31, 2019	Mar. 31, 2018	Dec. 31, 2013
Roto-Rooter [Member]
Revenue Recognition [line items]
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 penatly	60 days
Roto-Rooter [Member] | Maximum [Member]
Revenue Recognition [line items]
Duration of services provided	5 days
Roto-Rooter [Member] | Minimum [Member]
Revenue Recognition [line items]
Duration of services provided	3 days
VITAS [Member]
Revenue Recognition [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	4 hours
Reimbursement increments	15 minutes
Minimum amount of care per 24-hr period	8 hours
Charity care cost	$ 2.1	$ 2.1
Inpatient Cap percentage Max	20.00%	20.00%
Percentage of automatic budget reductions			2.00%
Percentage of medicaid reimbursement	95.00%
Percentage of expenses	5.00%
Reversed pretax expense/(income) from medicare cap liability		$ 1.8
Net pretax expense/(income) from medicare cap liability	$ 3.4	$ 2.4
VITAS [Member] | Three Program Projected Measurement Period Liability [Member]
Revenue Recognition [line items]
Unbilled Revenue	$ 4.1