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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, 2022
Dec. 31, 2021
Goodwill    
Balance at beginning of period $ 1,748,426 $ 1,259,147
Acquisitions 19,917 489,221
Noncontrolling interest 1,266 78
Adjustments and disposals (3,831) (20)
Balance at end of period 1,765,778 1,748,426
Intangibles Assets    
Balance at beginning of period 400,002 315,355
Acquisitions 5,483 87,420
Amortization (4,574) (1,494)
Adjustments and disposals (5,583) (1,279)
Balance at end of period 395,328 400,002
Home Health    
Goodwill    
Balance at beginning of period 968,435 884,000
Acquisitions 19,917 84,377
Noncontrolling interest 1,266 78
Adjustments and disposals (2,491) (20)
Balance at end of period 987,127 968,435
Intangibles Assets    
Balance at beginning of period 237,979 226,004
Acquisitions 5,483 13,734
Amortization (1,937) (480)
Adjustments and disposals (3,805) (1,279)
Balance at end of period 237,720 237,979
Hospice    
Goodwill    
Balance at beginning of period 556,332 151,742
Acquisitions 0 404,590
Noncontrolling interest 0  
Adjustments and disposals (20)  
Balance at end of period 556,312 556,332
Intangibles Assets    
Balance at beginning of period 117,340 44,732
Acquisitions 0 73,026
Amortization (1,679) (418)
Adjustments and disposals (1,267) 0
Balance at end of period 114,394 117,340
Home and community- based    
Goodwill    
Balance at beginning of period 167,027 166,773
Acquisitions 0 254
Noncontrolling interest   0
Adjustments and disposals (1,320) 0
Balance at end of period 165,707 167,027
Intangibles Assets    
Balance at beginning of period 24,245 24,208
Acquisitions 0 46
Amortization (9) (9)
Adjustments and disposals (511) 0
Balance at end of period 23,725 24,245
Facility-based    
Goodwill    
Balance at beginning of period 15,770 15,770
Acquisitions 0  
Noncontrolling interest 0  
Adjustments and disposals 0 0
Balance at end of period 15,770 15,770
Intangibles Assets    
Balance at beginning of period 5,919 5,311
Acquisitions 0 614
Amortization (368) (6)
Adjustments and disposals 0 0
Balance at end of period 5,551 5,919
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 14,519 15,100
Acquisitions 0 0
Amortization (581) (581)
Adjustments and disposals 0 0
Balance at end of period $ 13,938 $ 14,519