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Acquisitions and Joint Venture Activities - Price Allocation (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Business Acquisition [Line Items]    
Goodwill $ 1,234,145 $ 1,219,972
Home health agencies and hospice agency    
Business Acquisition [Line Items]    
Other assets and (liabilities), net (410)  
Total identifiable assets and liabilities 5,118  
Noncontrolling interest 6,388  
Goodwill 14,617  
Goodwill, Noncontrolling interest portion 4,660  
Trade Names | Home health agencies and hospice agency    
Business Acquisition [Line Items]    
Indefinite-lived intangible assets 1,944  
Certificates of need/licenses | Home health agencies and hospice agency    
Business Acquisition [Line Items]    
Indefinite-lived intangible assets $ 3,584