Goodwill and Intangibles - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018
Indefinite-lived Intangible Assets [Line Items]
Other intangible impairment charge	$ 1,018	$ 778	$ 7,337	$ 778
Disposal of goodwill and intangible assets	1,300		1,300
Intangible assets, net carrying amount	296,716		296,716		$ 297,379
Home health services
Indefinite-lived Intangible Assets [Line Items]
Other intangible impairment charge	748	291	7,066	291
Intangible assets, net carrying amount	212,336		212,336		215,382
Hospice services
Indefinite-lived Intangible Assets [Line Items]
Other intangible impairment charge	270	0	271	0
Intangible assets, net carrying amount	40,342		40,342		37,010
Home and community-based services
Indefinite-lived Intangible Assets [Line Items]
Other intangible impairment charge	0	0	0	0
Intangible assets, net carrying amount	23,946		23,946		23,948
Facility-based services
Indefinite-lived Intangible Assets [Line Items]
Other intangible impairment charge	0	487	0	487
Intangible assets, net carrying amount	4,121		4,121		4,147
HCI reporting unit
Indefinite-lived Intangible Assets [Line Items]
Other intangible impairment charge	0	$ 0	0	$ 0
Intangible assets, net carrying amount	15,971		$ 15,971		$ 16,892
Certificates of need/licenses
Indefinite-lived Intangible Assets [Line Items]
Other intangible impairment charge	$ 6,000
Trade Names
Indefinite-lived Intangible Assets [Line Items]
Estimated useful life			8 years 3 months 18 days		8 years 9 months 18 days
Customer relationships
Indefinite-lived Intangible Assets [Line Items]
Estimated useful life			18 years 9 months 18 days		19 years 3 months 18 days
Non-compete agreements
Indefinite-lived Intangible Assets [Line Items]
Estimated useful life			2 years 6 months		2 years 9 months 18 days