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Acquisitions and Joint Venture Activities - Additional Information (Details)
$ in Thousands, shares in Millions
3 Months Ended
Apr. 01, 2018
USD ($)
shares
Mar. 31, 2019
USD ($)
Agency
subsidiary
Mar. 31, 2018
USD ($)
Dec. 31, 2018
USD ($)
Business Acquisition [Line Items]        
Preliminary merger consideration $ 795,400      
Goodwill   $ 1,164,999   $ 1,161,717
Payments to Noncontrolling Interests   18,000 $ 55  
Home health services        
Business Acquisition [Line Items]        
Goodwill   $ 825,268   $ 822,602
Equity joint ventures        
Business Acquisition [Line Items]        
Number of subsidiaries | subsidiary   1    
Payments to Noncontrolling Interests   $ 18,000    
Almost Family        
Business Acquisition [Line Items]        
Exchange ratio 91.50%      
Shares of the Company issued (in shares) | shares 12.8      
Goodwill $ 760,485      
Almost Family | Trade Names        
Business Acquisition [Line Items]        
Indefinite-lived intangible assets 76,090      
Almost Family | Certificates of need/licenses        
Business Acquisition [Line Items]        
Indefinite-lived intangible assets $ 76,505      
Home health agencies and hospice agency        
Business Acquisition [Line Items]        
Preliminary merger consideration   1,700    
Cash paid to for acquisitions   1,400    
Goodwill   1,800    
Goodwill, noncontrolling interest   500    
Acquired nonontrolling interest   800    
Home health agencies and hospice agency | Trade Names        
Business Acquisition [Line Items]        
Indefinite-lived intangible assets   300    
Home health agencies and hospice agency | Certificates of need/licenses        
Business Acquisition [Line Items]        
Indefinite-lived intangible assets   $ 500    
Home health agencies and hospice agency | Home health services        
Business Acquisition [Line Items]        
Number of agencies | Agency   3    
Customer relationships | Almost Family        
Business Acquisition [Line Items]        
Amortization period 20 years