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Goodwill and Other Intangibles, Net - Schedule of Changes in Goodwill by Segment (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Goodwill    
Balance at beginning of period $ 1,259,147 $ 1,219,972
Acquisitions 489,221 33,272
Noncontrolling interest 78 6,827
Adjustments and disposals (20) (924)
Balance at end of period 1,748,426 1,259,147
Intangibles Assets    
Balance at beginning of period 315,355 305,556
Acquisitions 87,420 11,532
Amortization (1,494) (1,228)
Adjustments and disposals (1,279) (505)
Balance at end of period 400,002 315,355
Home Health    
Goodwill    
Balance at beginning of period 884,000 867,924
Acquisitions 84,377 12,025
Noncontrolling interest 78 4,695
Adjustments and disposals (20) (644)
Balance at end of period 968,435 884,000
Intangibles Assets    
Balance at beginning of period 226,004 219,872
Acquisitions 13,734 7,193
Amortization (480) (556)
Adjustments and disposals (1,279) (505)
Balance at end of period 237,979 226,004
Hospice    
Goodwill    
Balance at beginning of period 151,742 128,875
Acquisitions 404,590 21,025
Noncontrolling interest 0 2,122
Adjustments and disposals 0 (280)
Balance at end of period 556,332 151,742
Intangibles Assets    
Balance at beginning of period 44,732 40,590
Acquisitions 73,026 4,212
Amortization (418) (70)
Adjustments and disposals 0 0
Balance at end of period 117,340 44,732
Home and community- based    
Goodwill    
Balance at beginning of period 166,773 166,629
Acquisitions 254 134
Noncontrolling interest   10
Adjustments and disposals 0 0
Balance at end of period 167,027 166,773
Intangibles Assets    
Balance at beginning of period 24,208 24,096
Acquisitions 46 127
Amortization (9) (15)
Adjustments and disposals 0 0
Balance at end of period 24,245 24,208
Facility-based    
Goodwill    
Balance at beginning of period 15,770 15,682
Acquisitions 0 88
Noncontrolling interest 0  
Adjustments and disposals 0 0
Balance at end of period 15,770 15,770
Intangibles Assets    
Balance at beginning of period 5,311 5,317
Acquisitions 614 0
Amortization (6) (6)
Adjustments and disposals 0 0
Balance at end of period 5,919 5,311
HCI    
Goodwill    
Balance at beginning of period 40,862 40,862
Acquisitions 0 0
Noncontrolling interest 0 0
Adjustments and disposals 0  
Balance at end of period 40,862 40,862
Intangibles Assets    
Balance at beginning of period 15,100 15,681
Acquisitions 0 0
Amortization (581) (581)
Adjustments and disposals 0 0
Balance at end of period $ 14,519 $ 15,100