Quarterly report pursuant to Section 13 or 15(d)

Goodwill and Intangibles - Schedule of Changes in Recorded Goodwill by Reporting Unit (Details)

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Goodwill and Intangibles - Schedule of Changes in Recorded Goodwill by Reporting Unit (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Goodwill [Roll Forward]    
Balance as of December 31, 2019 $ 1,219,972  
Acquisitions 10,536  
Noncontrolling interests 5,047  
Adjustments and disposals (432)  
Balance as of September 30, 2020 1,235,123  
Intangible assets:    
Balance as of December 31, 2019 305,556  
Acquisitions 6,169  
Amortization (940) $ (1,000)
Adjustments and disposals 182  
Balance as of September 30, 2020 310,967  
Home health reporting unit    
Goodwill [Roll Forward]    
Balance as of December 31, 2019 867,924  
Acquisitions 7,725  
Noncontrolling interests 3,259  
Adjustments and disposals (105)  
Balance as of September 30, 2020 878,803  
Intangible assets:    
Balance as of December 31, 2019 219,872  
Acquisitions 5,112  
Amortization (427)  
Adjustments and disposals 182  
Balance as of September 30, 2020 224,739  
Hospice reporting unit    
Goodwill [Roll Forward]    
Balance as of December 31, 2019 128,875  
Acquisitions 2,677  
Noncontrolling interests 1,778  
Adjustments and disposals (327)  
Balance as of September 30, 2020 133,003  
Intangible assets:    
Balance as of December 31, 2019 40,590  
Acquisitions 930  
Amortization (60)  
Adjustments and disposals 0  
Balance as of September 30, 2020 41,460  
Home and community-based services reporting  unit    
Goodwill [Roll Forward]    
Balance as of December 31, 2019 166,629  
Acquisitions 134  
Noncontrolling interests 10  
Adjustments and disposals 0  
Balance as of September 30, 2020 166,773  
Intangible assets:    
Balance as of December 31, 2019 24,096  
Acquisitions 127  
Amortization (13)  
Adjustments and disposals 0  
Balance as of September 30, 2020 24,210  
Facility-based reporting  unit    
Goodwill [Roll Forward]    
Balance as of December 31, 2019 15,682  
Acquisitions 0  
Noncontrolling interests 0  
Adjustments and disposals 0  
Balance as of September 30, 2020 15,682  
Intangible assets:    
Balance as of December 31, 2019 5,317  
Acquisitions 0  
Amortization (4)  
Adjustments and disposals 0  
Balance as of September 30, 2020 5,313  
HCI reporting unit    
Goodwill [Roll Forward]    
Balance as of December 31, 2019 40,862  
Acquisitions 0  
Noncontrolling interests 0  
Adjustments and disposals 0  
Balance as of September 30, 2020 40,862  
Intangible assets:    
Balance as of December 31, 2019 15,681  
Acquisitions 0  
Amortization (436)  
Adjustments and disposals 0  
Balance as of September 30, 2020 $ 15,245