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Goodwill (Schedule of movement in Goodwill) (Details)
9 Months Ended
Sep. 30, 2017
USD ($)
item
Goodwill [Line Items]  
Beginning balance $ 472,366,000
Business combinations 481,000
Foreign currency adjustments 177,000
Ending balance 473,024,000
Segment VITAS [Member]  
Goodwill [Line Items]  
Beginning balance 328,301,000
Business combinations
Foreign currency adjustments
Ending balance 328,301,000
Roto-Rooter segment [Member]  
Goodwill [Line Items]  
Beginning balance 144,065,000
Business combinations 481,000
Foreign currency adjustments 177,000
Ending balance $ 144,723,000
Number of Business Combinations Completed | item 1
Business comination, cash $ 525,000