XML 59 R45.htm IDEA: XBRL DOCUMENT v3.10.0.1
Other Acquisitions and Joint Ventures - Additional Information (Detail)
$ in Thousands
12 Months Ended
Apr. 01, 2018
USD ($)
Sep. 01, 2017
Agency
Jun. 01, 2017
Agency
Jan. 01, 2017
Agency
Dec. 31, 2018
USD ($)
Agency
subsidiary
Dec. 31, 2017
USD ($)
Agency
Dec. 31, 2016
USD ($)
Business Acquisition [Line Items]              
Consideration transferred for a business combination $ 795,412       $ 795,412 $ 0 $ 0
Goodwill         1,161,717 392,601 307,317
Proceeds from sale of ownership interests         4,200    
Reduction to additional paid in capital         2,200    
Increase to additional paid in capital         7,700    
Home and community-based              
Business Acquisition [Line Items]              
Number of entities acquired | Agency   1          
Home Health Reporting Unit              
Business Acquisition [Line Items]              
Goodwill         822,602 $ 261,456 210,839
Number of entities acquired | Agency   7 3 28   5  
Hospice Reporting Unit              
Business Acquisition [Line Items]              
Goodwill         118,583 $ 88,814 64,234
Number of entities acquired | Agency   5 6 12   2  
Inpatient Hospice              
Business Acquisition [Line Items]              
Number of entities acquired | Agency   1 1 1      
LTACH Agency              
Business Acquisition [Line Items]              
Number of entities acquired | Agency   6          
Pharmacy              
Business Acquisition [Line Items]              
Number of entities acquired | Agency           1  
Home Health Agencies and Hospice Agency              
Business Acquisition [Line Items]              
Consideration transferred for a business combination         9,400    
Cash paid for acquisitions         8,800    
Goodwill         11,000    
Acquired non-controlling interest         $ 5,000    
Home Health Agencies and Hospice Agency | Home health              
Business Acquisition [Line Items]              
Number of agencies | Agency         7    
Home Health Agencies and Hospice Agency | Hospice              
Business Acquisition [Line Items]              
Number of agencies | Agency         1    
2017 Acquisitions              
Business Acquisition [Line Items]              
Cash paid for acquisitions           $ 10,400 $ 64,600
Total purchase price for acquisitions           $ 80,200  
Trade name | Home Health Agencies and Hospice Agency              
Business Acquisition [Line Items]              
Indefinite-lived intangible assets         $ 1,500    
Certificates of need/licenses | Home Health Agencies and Hospice Agency              
Business Acquisition [Line Items]              
Indefinite-lived intangible assets         $ 1,400    
Wholly owned subsidiaries              
Business Acquisition [Line Items]              
Number of subsidiaries | subsidiary         5    
Equity joint ventures              
Business Acquisition [Line Items]              
Consideration transferred for a business combination         $ 8,100    
Cash paid for acquisitions         $ 7,700    
Number of subsidiaries | subsidiary         2