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Gentiva Merger - Additional Information (Details)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Oct. 09, 2014
USD ($)
$ / shares
Sep. 30, 2015
USD ($)
Dec. 31, 2015
USD ($)
$ / shares
Dec. 31, 2014
USD ($)
Location
State
$ / shares
Dec. 31, 2013
USD ($)
Business Acquisition [Line Items]          
Common stock, par value | $ / shares     $ 0.25 $ 0.25  
Issuance of common stock in Gentiva Merger (see Note 2)     $ 177,456    
Business Acquisition transaction costs     37,900 $ 10,800  
Business acquisition retention and severance costs     60,300    
Payment for early termination of lease     800    
Business Acquisition financing costs     23,400 17,000  
Proceeds from note receivable   $ 25,000 25,000    
Gross contractual accounts receivable     278,900    
Contractual accounts receivable estimated to be uncollectable     $ 13,900    
Weighted average life (in years)     3 years    
Goodwill     $ 2,669,810 997,597 $ 992,102
Home Health          
Business Acquisition [Line Items]          
Goodwill     739,677 117,589 112,378
Hospice          
Business Acquisition [Line Items]          
Goodwill     639,006 $ 26,910 $ 26,910
Community Care          
Business Acquisition [Line Items]          
Goodwill     166,312    
General and Administrative Expenses          
Business Acquisition [Line Items]          
Business Acquisition financing costs     6,000    
Interest Expense          
Business Acquisition [Line Items]          
Business Acquisition financing costs     $ 17,400    
Gentiva Health Services Inc          
Business Acquisition [Line Items]          
Merger agreement, date of agreement and plan     Oct. 09, 2014    
Merger agreement, latest consummation date     Feb. 02, 2015    
Common stock, par value | $ / shares $ 0.10   $ 0.25    
Merger agreement, cash consideration per share of common stock | $ / shares $ 14.50        
Merger agreement, conversion ratio of common stock issuable 0.257        
Business acquisition, purchase price $ 722,300        
Purchase price, cash consideration 544,800        
Issuance of common stock in Gentiva Merger (see Note 2) 177,500        
long-term debt assumed and paid $ 1,200,000        
Number of locations | Location       491  
Number of states | State       40  
Goodwill     $ 1,392,902    
Transaction financing and severance costs included in unaudited pro forma financial data     139,400    
Revenues associated with merger     1,900,000    
Earnings before interest, income taxes, transaction, integration, retention and severance costs associated with merger     235,700    
Gentiva Health Services Inc | Home Health          
Business Acquisition [Line Items]          
Goodwill     613,300    
Gentiva Health Services Inc | Hospice          
Business Acquisition [Line Items]          
Goodwill     613,300    
Gentiva Health Services Inc | Community Care          
Business Acquisition [Line Items]          
Goodwill     $ 166,300