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
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Goodwill [Roll Forward]        
Goodwill, beginning balance     $ 1,259,147  
Acquisitions     344,155  
Noncontrolling interests     78  
Disposals     (20)  
Goodwill, ending balance $ 1,603,360   1,603,360  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     315,355  
Acquisitions     37,495  
Amortization (400) $ (300) (1,043) $ (900)
Disposals     (1,279)  
Intangible assets, ending balance (excluding goodwill) 350,528   350,528  
Home health reporting unit        
Goodwill [Roll Forward]        
Goodwill, beginning balance     884,000  
Acquisitions     7,057  
Noncontrolling interests     78  
Disposals     (20)  
Goodwill, ending balance 891,115   891,115  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     226,004  
Acquisitions     1,478  
Amortization     (354)  
Disposals     (1,279)  
Intangible assets, ending balance (excluding goodwill) 225,849   225,849  
Hospice reporting unit        
Goodwill [Roll Forward]        
Goodwill, beginning balance     151,742  
Acquisitions     336,844  
Noncontrolling interests     0  
Disposals     0  
Goodwill, ending balance 488,586   488,586  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     44,732  
Acquisitions     35,971  
Amortization     (242)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) 80,461   80,461  
Home and community-based services reporting  unit        
Goodwill [Roll Forward]        
Goodwill, beginning balance     166,773  
Acquisitions     254  
Noncontrolling interests     0  
Disposals     0  
Goodwill, ending balance 167,027   167,027  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     24,208  
Acquisitions     46  
Amortization     (7)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) 24,247   24,247  
Facility-based reporting  unit        
Goodwill [Roll Forward]        
Goodwill, beginning balance     15,770  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     0  
Goodwill, ending balance 15,770   15,770  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     5,311  
Acquisitions     0  
Amortization     (4)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) 5,307   5,307  
HCI reporting unit        
Goodwill [Roll Forward]        
Goodwill, beginning balance     40,862  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     0  
Goodwill, ending balance 40,862   40,862  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     15,100  
Acquisitions     0  
Amortization     (436)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) $ 14,664   $ 14,664