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Goodwill and Intangibles - Schedule of Changes in Recorded Goodwill by Reporting Unit (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2019
USD ($)
Goodwill [Roll Forward]  
Balance at beginning of period $ 1,161,717
Acquisitions 1,278
Noncontrolling interests 532
Adjustments and disposals 1,472
Balance at end of period 1,164,999
Home health reporting unit  
Goodwill [Roll Forward]  
Balance at beginning of period 822,602
Acquisitions 1,278
Noncontrolling interests 532
Adjustments and disposals 856
Balance at end of period 825,268
Hospice reporting unit  
Goodwill [Roll Forward]  
Balance at beginning of period 118,583
Acquisitions 0
Noncontrolling interests 0
Adjustments and disposals 14
Balance at end of period 118,597
Home and community-based services reporting unit  
Goodwill [Roll Forward]  
Balance at beginning of period 165,583
Acquisitions 0
Noncontrolling interests 0
Adjustments and disposals 495
Balance at end of period 166,078
Facility-based reporting unit  
Goodwill [Roll Forward]  
Balance at beginning of period 14,194
Acquisitions 0
Noncontrolling interests 0
Adjustments and disposals 0
Balance at end of period 14,194
HCI reporting unit  
Goodwill [Roll Forward]  
Balance at beginning of period 40,755
Acquisitions 0
Noncontrolling interests 0
Adjustments and disposals 107
Balance at end of period $ 40,862