v3.26.1
Segments (Segment Data) (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting Information [Line Items]        
Service revenues and sales $ 673,251 $ 618,798 $ 1,330,764 $ 1,265,741
Wages 333,086 317,509 658,863 630,154
Patient care expense 47,108 41,008 92,953 81,387
Other expenses 71,586 75,588 141,713 153,094
Total cost of services provided and goods sold 451,780 434,105 893,529 864,635
Wages 45,944 40,523 90,744 83,967
Advertising 21,793 18,943 43,833 37,112
Stock compensation 11,300 10,069 22,055 21,817
Other expenses 36,166 30,788 72,892 63,014
Total selling, general and administrative expense 115,203 100,323 229,524 205,910
Depreciation 14,267 13,689 28,570 27,134
Amortization 2,719 2,571 5,289 5,143
Other operating expense/(income) 78 26 70 77
Total costs and expense 584,047 550,714 1,156,982 1,102,899
Income from operations 89,204 68,084 173,782 162,842
Interest expense (1,789) (443) (2,301) (772)
Other income - net 3,914 3,474 8,688 4,719
Income/(expense) before income taxes 91,329 71,115 180,169 166,789
Income taxes (23,626) (18,622) (46,164) (42,539)
Net income/(loss) 67,703 52,493 134,005 124,250
Additions to long-lived assets 28,545 15,810 66,404 29,575
Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 673,251 618,798 1,330,764 1,265,741
Wages 333,086 317,509 658,863 630,154
Patient care expense 47,108 41,008 92,953 81,387
Other expenses 71,586 75,588 141,713 153,094
Total cost of services provided and goods sold 451,780 434,105 893,529 864,635
Wages 40,619 37,775 80,740 76,488
Advertising 21,793 18,943 43,833 37,112
Other expenses 31,066 28,903 62,942 61,208
Total selling, general and administrative expense 93,478 85,621 187,515 174,808
Depreciation 14,255 13,677 28,546 27,110
Amortization 2,719 2,571 5,289 5,143
Other operating expense/(income) 78 26 71 77
Total costs and expense 562,310 536,000 1,114,950 1,071,773
Income from operations 110,941 82,798 215,814 193,968
Interest expense (239) (176) (425) (356)
Intercompany interest income/(expense) 11,055 9,424 21,805 18,650
Other income - net 76 84 186 142
Income/(expense) before income taxes 121,833 92,130 237,380 212,404
Income taxes (29,009) (21,997) (56,565) (52,297)
Net income/(loss) 92,824 70,133 180,815 160,107
Additions to long-lived assets 28,541 15,805 66,379 29,570
Corporate [Member]        
Segment Reporting Information [Line Items]        
Wages 5,325 2,748 10,004 7,479
Stock compensation 11,300 10,069 22,055 21,817
Other expenses 5,100 1,885 9,950 1,806
Total selling, general and administrative expense 21,725 14,702 42,009 31,102
Depreciation 12 12 24 24
Other operating expense/(income)     (1)  
Total costs and expense 21,737 14,714 42,032 31,126
Income from operations (21,737) (14,714) (42,032) (31,126)
Interest expense (1,550) (267) (1,876) (416)
Intercompany interest income/(expense) (11,055) (9,424) (21,805) (18,650)
Other income - net 3,838 3,390 8,502 4,577
Income/(expense) before income taxes (30,504) (21,015) (57,211) (45,615)
Income taxes 5,383 3,375 10,401 9,758
Net income/(loss) (25,121) (17,640) (46,810) (35,857)
Additions to long-lived assets 4 5 25 5
VITAS [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 443,341 396,201 863,358 803,600
VITAS [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 443,341 396,201 863,358 803,600
Wages 254,425 241,805 498,530 476,978
Patient care expense 47,108 41,008 92,953 81,387
Other expenses 36,158 37,831 71,674 75,086
Total cost of services provided and goods sold 337,691 320,644 663,157 633,451
Wages 17,959 16,757 35,195 34,284
Other expenses 8,146 8,328 17,018 17,340
Total selling, general and administrative expense 26,105 25,085 52,213 51,624
Depreciation 5,781 5,314 11,693 10,509
Amortization 27 26 53 52
Other operating expense/(income) 28 55 80 119
Total costs and expense 369,632 351,124 727,196 695,755
Income from operations 73,709 45,077 136,162 107,845
Interest expense (54) (47) (104) (95)
Intercompany interest income/(expense) 6,480 5,454 12,717 10,750
Other income - net 66 61 161 110
Income/(expense) before income taxes 80,201 50,545 148,936 118,610
Income taxes (19,290) (12,326) (35,818) (30,361)
Net income/(loss) 60,911 38,219 113,118 88,249
Additions to long-lived assets 6,579 7,060 13,322 11,384
Roto-Rooter [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 229,910 222,597 467,406 462,141
Roto-Rooter [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 229,910 222,597 467,406 462,141
Wages 78,661 75,704 160,333 153,176
Other expenses 35,428 37,757 70,039 78,008
Total cost of services provided and goods sold 114,089 113,461 230,372 231,184
Wages 22,660 21,018 45,545 42,204
Advertising 21,793 18,943 43,833 37,112
Other expenses 22,920 20,575 45,924 43,868
Total selling, general and administrative expense 67,373 60,536 135,302 123,184
Depreciation 8,474 8,363 16,853 16,601
Amortization 2,692 2,545 5,236 5,091
Other operating expense/(income) 50 (29) (9) (42)
Total costs and expense 192,678 184,876 387,754 376,018
Income from operations 37,232 37,721 79,652 86,123
Interest expense (185) (129) (321) (261)
Intercompany interest income/(expense) 4,575 3,970 9,088 7,900
Other income - net 10 23 25 32
Income/(expense) before income taxes 41,632 41,585 88,444 93,794
Income taxes (9,719) (9,671) (20,747) (21,936)
Net income/(loss) 31,913 31,914 67,697 71,858
Additions to long-lived assets $ 21,962 $ 8,745 $ 53,057 $ 18,186