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Goodwill and Other Intangible Assets (Details) - USD ($)
$ in Thousands
6 Months Ended 12 Months Ended
Jun. 30, 2017
Dec. 30, 2016
Activity related to goodwill and other intangible assets    
Impairment loss on goodwill and other intangible assets   $ 0
Goodwill    
Balance at the beginning of the period $ 305,476  
Additions 83,782  
Balance at the end of the period 389,258 305,476
Other Intangible Assets    
Balance at the beginning of the period 85,063  
Additions 62,035  
Amortization (362)  
Balance at the end of the period 146,736 85,063
Home Health    
Goodwill    
Balance at the end of the period 277,606  
Other Intangible Assets    
Balance at the end of the period 122,515  
Personal Care    
Goodwill    
Balance at the end of the period 75,003  
Other Intangible Assets    
Balance at the end of the period 9,435  
Healthcare Innovations    
Goodwill    
Balance at the end of the period 36,649  
Other Intangible Assets    
Balance at the end of the period 14,786  
Non-compete Agreements    
Other Intangible Assets    
Balance at the beginning of the period 620  
Additions 300  
Amortization (108)  
Balance at the end of the period 812 620
Non-compete Agreements | Home Health    
Other Intangible Assets    
Balance at the end of the period 330  
Non-compete Agreements | Personal Care    
Other Intangible Assets    
Balance at the end of the period 60  
Non-compete Agreements | Healthcare Innovations    
Other Intangible Assets    
Balance at the end of the period 422  
Customer Relationships    
Other Intangible Assets    
Balance at the beginning of the period 9,688  
Amortization (254)  
Balance at the end of the period 9,434 9,688
Customer Relationships | Healthcare Innovations    
Other Intangible Assets    
Balance at the end of the period 9,434  
Certificates of Need and Licenses    
Other Intangible Assets    
Balance at the beginning of the period 51,432  
Additions 52,735  
Balance at the end of the period 104,167 51,432
Certificates of Need and Licenses | Home Health    
Other Intangible Assets    
Balance at the end of the period 99,987  
Certificates of Need and Licenses | Personal Care    
Other Intangible Assets    
Balance at the end of the period 4,180  
Trade Names    
Other Intangible Assets    
Balance at the beginning of the period 23,323  
Additions 9,000  
Balance at the end of the period 32,323 $ 23,323
Trade Names | Home Health    
Other Intangible Assets    
Balance at the end of the period 22,198  
Trade Names | Personal Care    
Other Intangible Assets    
Balance at the end of the period 5,195  
Trade Names | Healthcare Innovations    
Other Intangible Assets    
Balance at the end of the period $ 4,930