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Almost Family Merger (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended
Jun. 30, 2018
Mar. 31, 2018
Apr. 01, 2018
Subsequent Event [Line Items]      
Payments for Merger Related Costs   $ 7,900  
Subsequent Event      
Subsequent Event [Line Items]      
Outstanding shares of Almost Family common stock as of April 1, 2018 13,951    
Exchange ratio 91.50%    
Shares of the Company issued 12,765    
Price per share as of April 1, 2018     $ 61.56
Fair value of the Compnay common stock issued $ 785,837    
Fair value of vested Almost Family equity awards exchanged for equity awards in the Company $ 4,664,000    
Preliminary merger consideration $ 790,501