v3.26.3
Segments (Segment Data) (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Segment Reporting Information [Line Items]        
Service revenues and sales $ 690,940 $ 624,900 $ 2,021,704 $ 1,890,641
Wages 335,836 312,349 994,699 942,503
Patient care expense 48,205 43,269 141,158 124,656
Other expenses 73,937 69,525 215,650 222,619
Total cost of services provided and goods sold 457,978 425,143 1,351,507 1,289,778
Wages 44,902 44,466 135,646 128,433
Advertising 23,885 19,542 67,718 56,654
Stock compensation 9,135 5,851 31,189 27,668
Other expenses 33,547 35,916 106,440 98,930
Total selling, general and administrative expense 111,469 105,775 340,993 311,685
Depreciation 14,427 13,664 42,997 40,798
Amortization 2,974 2,570 8,263 7,713
Other operating expense/(income) 7,670 2,998 7,740 3,075
Total costs and expense 594,518 550,150 1,751,500 1,653,049
Income from operations 96,422 74,750 270,204 237,592
Interest expense (2,097) (457) (4,398) (1,229)
Other income - net 2,383 9,251 11,071 13,970
Income/(expense) before income taxes 96,708 83,544 276,877 250,333
Income taxes (25,060) (19,307) (71,224) (61,846)
Net income/(loss) 71,648 64,237 205,653 188,487
Additions to long-lived assets 81,696 17,499 148,100 47,074
Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 690,940 624,900 2,021,704 1,890,641
Wages 335,836 312,349 994,699 942,503
Patient care expense 48,205 43,269 141,158 124,656
Other expenses 73,937 69,525 215,650 222,619
Total cost of services provided and goods sold 457,978 425,143 1,351,507 1,289,778
Wages 39,812 38,026 120,552 114,514
Advertising 23,885 19,542 67,718 56,654
Other expenses 30,436 28,340 93,379 89,549
Total selling, general and administrative expense 94,133 85,908 281,649 260,717
Depreciation 14,415 13,652 42,961 40,762
Amortization 2,974 2,570 8,263 7,713
Other operating expense/(income) 7,440 2,998 7,510 3,075
Total costs and expense 576,940 530,271 1,691,890 1,602,045
Income from operations 114,000 94,629 329,814 288,596
Interest expense (199) (188) (624) (544)
Intercompany interest income/(expense) 11,340 9,715 33,145 28,366
Other income - net 129 86 316 228
Income/(expense) before income taxes 125,270 104,242 362,651 316,646
Income taxes (29,422) (25,400) (85,987) (77,697)
Net income/(loss) 95,848 78,842 276,664 238,949
Additions to long-lived assets 81,690 17,489 148,069 47,059
Corporate [Member]        
Segment Reporting Information [Line Items]        
Wages 5,090 6,440 15,094 13,919
Stock compensation 9,135 5,851 31,189 27,668
Other expenses 3,111 7,576 13,061 9,381
Total selling, general and administrative expense 17,336 19,867 59,344 50,968
Depreciation 12 12 36 36
Other operating expense/(income) 230   230  
Total costs and expense 17,578 19,879 59,610 51,004
Income from operations (17,578) (19,879) (59,610) (51,004)
Interest expense (1,898) (269) (3,774) (685)
Intercompany interest income/(expense) (11,340) (9,715) (33,145) (28,366)
Other income - net 2,254 9,165 10,755 13,742
Income/(expense) before income taxes (28,562) (20,698) (85,774) (66,313)
Income taxes 4,362 6,093 14,763 15,851
Net income/(loss) (24,200) (14,605) (71,011) (50,462)
Additions to long-lived assets 6 10 31 15
VITAS [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 457,403 407,741 1,320,762 1,211,341
VITAS [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 457,403 407,741 1,320,762 1,211,341
Wages 257,425 239,357 755,955 716,335
Patient care expense 48,205 43,269 141,158 124,656
Other expenses 36,363 35,389 108,037 110,475
Total cost of services provided and goods sold 341,993 318,015 1,005,150 951,466
Wages 16,710 16,904 51,905 51,188
Other expenses 6,390 8,332 23,409 25,673
Total selling, general and administrative expense 23,100 25,236 75,314 76,861
Depreciation 5,791 5,354 17,484 15,863
Amortization 25 26 78 78
Other operating expense/(income) 7,352 3,036 7,432 3,155
Total costs and expense 378,261 351,667 1,105,458 1,047,423
Income from operations 79,142 56,074 215,304 163,918
Interest expense (54) (56) (158) (150)
Intercompany interest income/(expense) 6,766 5,685 19,484 16,436
Other income - net 124 61 285 170
Income/(expense) before income taxes 85,978 61,764 234,915 180,374
Income taxes (20,270) (14,993) (56,088) (45,353)
Net income/(loss) 65,708 46,771 178,827 135,021
Additions to long-lived assets 7,987 10,850 21,309 22,234
Roto-Rooter [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 233,537 217,159 700,942 679,300
Roto-Rooter [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
Service revenues and sales 233,537 217,159 700,942 679,300
Wages 78,411 72,992 238,744 226,168
Other expenses 37,574 34,136 107,613 112,144
Total cost of services provided and goods sold 115,985 107,128 346,357 338,312
Wages 23,102 21,122 68,647 63,326
Advertising 23,885 19,542 67,718 56,654
Other expenses 24,046 20,008 69,970 63,876
Total selling, general and administrative expense 71,033 60,672 206,335 183,856
Depreciation 8,624 8,298 25,477 24,899
Amortization 2,949 2,544 8,185 7,635
Other operating expense/(income) 88 (38) 78 (80)
Total costs and expense 198,679 178,604 586,432 554,622
Income from operations 34,858 38,555 114,510 124,678
Interest expense (145) (132) (466) (394)
Intercompany interest income/(expense) 4,574 4,030 13,661 11,930
Other income - net 5 25 31 58
Income/(expense) before income taxes 39,292 42,478 127,736 136,272
Income taxes (9,152) (10,407) (29,899) (32,344)
Net income/(loss) 30,140 32,071 97,837 103,928
Additions to long-lived assets $ 73,703 $ 6,639 $ 126,760 $ 24,825