v3.25.2
Segments (Segment Data) (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting Information [Line Items]        
Service revenues and sales $ 618,798 $ 595,880 $ 1,265,741 $ 1,185,113
Wages 317,509 285,868 630,154 567,826
Patient care expense 41,008 36,625 81,387 71,699
Other expenses 75,588 67,257 153,094 135,352
Total cost of services provided and goods sold 434,105 389,750 864,635 774,877
Wages 40,523 41,738 83,967 83,282
Advertising 18,943 17,327 37,112 36,851
Stock compensation 10,069 12,463 21,817 30,609
Other expenses 30,788 30,727 63,014 67,386
Total selling, general and administrative expense 100,323 102,255 205,910 218,128
Depreciation 13,689 13,167 27,134 26,454
Amortization 2,571 2,546 5,143 5,067
Other operating expense/(income) 26 37 77 129
Total costs and expense 550,714 507,755 1,102,899 1,024,655
Income from operations 68,084 88,125 162,842 160,458
Interest expense (443) (429) (772) (854)
Other income - net 3,474 6,132 4,719 18,709
Income before income taxes 71,115 93,828 166,789 178,313
Income taxes (18,622) (22,941) (42,539) (42,409)
Net income 52,493 70,887 124,250 135,904
Additions to long-lived assets 15,810 96,430 29,575 115,762
Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 618,798 595,880 1,265,741 1,185,113
Wages 317,509 285,868 630,154 567,826
Patient care expense 41,008 36,625 81,387 71,699
Other expenses 75,588 67,257 153,094 135,352
Total cost of services provided and goods sold 434,105 389,750 864,635 774,877
Wages 37,775 37,371 76,488 74,975
Advertising 18,943 17,327 37,112 36,851
Other expenses 28,903 26,946 61,208 54,870
Total selling, general and administrative expense 85,621 81,644 174,808 166,696
Depreciation 13,677 13,154 27,110 26,429
Amortization 2,571 2,546 5,143 5,067
Other operating expense/(income) 26 37 77 129
Total costs and expense 536,000 487,131 1,071,773 973,198
Income from operations 82,798 108,749 193,968 211,915
Interest expense (176) (164) (356) (327)
Intercompany interest income/(expense) 9,424 8,522 18,650 17,158
Other income - net 84 70 142 122
Income before income taxes 92,130 117,177 212,404 228,868
Income taxes (21,997) (27,408) (52,297) (54,276)
Net income 70,133 89,769 160,107 174,592
Additions to long-lived assets 15,805 96,266 29,570 115,591
Corporate [Member]        
Segment Reporting Information [Line Items]        
Wages 2,748 4,367 7,479 8,307
Stock compensation 10,069 12,463 21,817 30,609
Other expenses 1,885 3,781 1,806 12,516
Total selling, general and administrative expense 14,702 20,611 31,102 51,432
Depreciation 12 13 24 25
Total costs and expense 14,714 20,624 31,126 51,457
Income from operations (14,714) (20,624) (31,126) (51,457)
Interest expense (267) (265) (416) (527)
Intercompany interest income/(expense) (9,424) (8,522) (18,650) (17,158)
Other income - net 3,390 6,062 4,577 18,587
Income before income taxes (21,015) (23,349) (45,615) (50,555)
Income taxes 3,375 4,467 9,758 11,867
Net income (17,640) (18,882) (35,857) (38,688)
Additions to long-lived assets 5 164 5 171
VITAS [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 396,201 374,558 803,600 728,564
VITAS [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 396,201 374,558 803,600 728,564
Wages 241,805 212,811 476,978 416,235
Patient care expense 41,008 36,625 81,387 71,699
Other expenses 37,831 36,081 75,086 69,477
Total cost of services provided and goods sold 320,644 285,517 633,451 557,411
Wages 16,757 17,369 34,284 33,898
Other expenses 8,328 6,924 17,340 14,187
Total selling, general and administrative expense 25,085 24,293 51,624 48,085
Depreciation 5,314 5,058 10,509 10,225
Amortization 26 26 52 52
Other operating expense/(income) 55 56 119 63
Total costs and expense 351,124 314,950 695,755 615,836
Income from operations 45,077 59,608 107,845 112,728
Interest expense (47) (46) (95) (92)
Intercompany interest income/(expense) 5,454 4,982 10,750 10,176
Other income - net 61 46 110 75
Income before income taxes 50,545 64,590 118,610 122,887
Income taxes (12,326) (15,338) (30,361) (29,666)
Net income 38,219 49,252 88,249 93,221
Additions to long-lived assets 7,060 90,714 11,384 96,569
Roto-Rooter [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 222,597 221,322 462,141 456,549
Roto-Rooter [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 222,597 221,322 462,141 456,549
Wages 75,704 73,057 153,176 151,591
Other expenses 37,757 31,176 78,008 65,875
Total cost of services provided and goods sold 113,461 104,233 231,184 217,466
Wages 21,018 20,002 42,204 41,077
Advertising 18,943 17,327 37,112 36,851
Other expenses 20,575 20,022 43,868 40,683
Total selling, general and administrative expense 60,536 57,351 123,184 118,611
Depreciation 8,363 8,096 16,601 16,204
Amortization 2,545 2,520 5,091 5,015
Other operating expense/(income) (29) (19) (42) 66
Total costs and expense 184,876 172,181 376,018 357,362
Income from operations 37,721 49,141 86,123 99,187
Interest expense (129) (118) (261) (235)
Intercompany interest income/(expense) 3,970 3,540 7,900 6,982
Other income - net 23 24 32 47
Income before income taxes 41,585 52,587 93,794 105,981
Income taxes (9,671) (12,070) (21,936) (24,610)
Net income 31,914 40,517 71,858 81,371
Additions to long-lived assets $ 8,745 $ 5,552 $ 18,186 $ 19,022