Annual report pursuant to Section 13 and 15(d)

Goodwill and Other Intangibles, Net - Schedule of Changes in Goodwill by Segment (Detail)

v3.20.4
Goodwill and Other Intangibles, Net - Schedule of Changes in Goodwill by Segment (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Goodwill [Roll Forward]    
Balance at beginning of period $ 1,219,972 $ 1,161,717
Acquisitions 33,272 48,452
Noncontrolling interests 6,827 7,390
Adjustments and disposals (924) 2,413
Balance at end of period 1,259,147 1,219,972
Intangible Assets [Roll Forward]    
Balance at beginning of period 305,556 297,379
Acquisitions 11,532 16,345
Amortization (1,228) (1,255)
Adjustments and disposals (505) (6,913)
Balance at end of period 315,355 305,556
Home Health    
Goodwill [Roll Forward]    
Balance at beginning of period 867,924 822,602
Acquisitions 12,025 40,237
Noncontrolling interests 4,695 4,489
Adjustments and disposals (644) 596
Balance at end of period 884,000 867,924
Intangible Assets [Roll Forward]    
Balance at beginning of period 219,872 215,382
Acquisitions 7,193 12,537
Amortization (556) (436)
Adjustments and disposals (505) (7,611)
Balance at end of period 226,004 219,872
Hospice    
Goodwill [Roll Forward]    
Balance at beginning of period 128,875 118,583
Acquisitions 21,025 6,726
Noncontrolling interests 2,122 2,351
Adjustments and disposals (280) 1,215
Balance at end of period 151,742 128,875
Intangible Assets [Roll Forward]    
Balance at beginning of period 40,590 37,010
Acquisitions 4,212 2,452
Amortization (70) (154)
Adjustments and disposals 0 1,282
Balance at end of period 44,732 40,590
Home and community- based    
Goodwill [Roll Forward]    
Balance at beginning of period 166,629 165,583
Acquisitions 134 551
Noncontrolling interests 10 0
Adjustments and disposals 0 495
Balance at end of period 166,773 166,629
Intangible Assets [Roll Forward]    
Balance at beginning of period 24,096 23,948
Acquisitions 127 154
Amortization (15) (4)
Adjustments and disposals 0 (2)
Balance at end of period 24,208 24,096
Facility-based    
Goodwill [Roll Forward]    
Balance at beginning of period 15,682 14,194
Acquisitions 88 938
Noncontrolling interests 0 550
Adjustments and disposals 0 0
Balance at end of period 15,770 15,682
Intangible Assets [Roll Forward]    
Balance at beginning of period 5,317 4,147
Acquisitions 0 1,202
Amortization (6) (32)
Adjustments and disposals 0 0
Balance at end of period 5,311 5,317
HCI    
Goodwill [Roll Forward]    
Balance at beginning of period 40,862 40,755
Acquisitions 0 0
Noncontrolling interests 0 0
Adjustments and disposals 0 107
Balance at end of period 40,862 40,862
Intangible Assets [Roll Forward]    
Balance at beginning of period 15,681 16,892
Acquisitions 0 0
Amortization (581) (629)
Adjustments and disposals 0 (582)
Balance at end of period $ 15,100 $ 15,681