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Goodwill (Schedule of movement in Goodwill) (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2018
USD ($)
Goodwill [Line Items]  
Beginning balance $ 476,887
Business combinations 1,404
Foreign currency adjustments (89)
Ending balance 478,202
Segment VITAS [Member]  
Goodwill [Line Items]  
Beginning balance 328,301
Business combinations
Foreign currency adjustments
Ending balance 328,301
Roto-Rooter segment [Member]  
Goodwill [Line Items]  
Beginning balance 148,586
Business combinations 1,404
Foreign currency adjustments (89)
Ending balance $ 149,901