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Acquisitions and Joint Venture Activities - Price Allocation (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Dec. 31, 2018
Business Acquisition [Line Items]    
Goodwill $ 1,216,227 $ 1,161,717
Home health agencies and hospice agency    
Business Acquisition [Line Items]    
Cash 54,120  
Other assets and (liabilities), net (3,235)  
Total identifiable assets and liabilities 10,880  
Noncontrolling interest 8,858  
Goodwill 52,098  
Trade Names | Home health agencies and hospice agency    
Business Acquisition [Line Items]    
Indefinite-lived intangible assets 6,685  
Certificates of need/licenses | Home health agencies and hospice agency    
Business Acquisition [Line Items]    
Indefinite-lived intangible assets $ 7,430