Business Combinations (Narrative) (Details) $ in Thousands	12 Months Ended
Dec. 31, 2017 USD ($) item	Dec. 31, 2015 USD ($) entity
Business Acquisition [Line Items]
Business combinations	$ 4,725	$ 6,614
Segment Roto-Rooter [Member]
Business Acquisition [Line Items]
Number of businesses acquired	2	2
Business combinations	$ 4,700	$ 6,600

The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase.

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3213-108585

Name:	us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration