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 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Goodwill:        
Goodwill, beginning balance     $ 1,748,426  
Net working capital adjustments     1,440  
Acquisitions     2,190  
Noncontrolling interests     504  
Disposals     (1,130)  
Goodwill, ending balance $ 1,751,430   1,751,430  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     400,002  
Acquisitions     810  
Amortization (1,100) $ (300) (2,750) $ (600)
Disposals     (941)  
Intangible assets, ending balance (excluding goodwill) 397,121   397,121  
Home health reporting unit        
Goodwill:        
Goodwill, beginning balance     968,435  
Net working capital adjustments     0  
Acquisitions     2,190  
Noncontrolling interests     504  
Disposals     (440)  
Goodwill, ending balance 970,689   970,689  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     237,979  
Acquisitions     810  
Amortization     (1,193)  
Disposals     (490)  
Intangible assets, ending balance (excluding goodwill) 237,106   237,106  
Hospice reporting unit        
Goodwill:        
Goodwill, beginning balance     556,332  
Net working capital adjustments     1,440  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     (690)  
Goodwill, ending balance 557,082   557,082  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     117,340  
Acquisitions     0  
Amortization     (985)  
Disposals     (397)  
Intangible assets, ending balance (excluding goodwill) 115,958   115,958  
Home and community-based services reporting  unit        
Goodwill:        
Goodwill, beginning balance     167,027  
Net working capital adjustments     0  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     0  
Goodwill, ending balance 167,027   167,027  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     24,245  
Acquisitions     0  
Amortization     (6)  
Disposals     (54)  
Intangible assets, ending balance (excluding goodwill) 24,185   24,185  
Facility-based reporting  unit        
Goodwill:        
Goodwill, beginning balance     15,770  
Net working capital adjustments     0  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     0  
Goodwill, ending balance 15,770   15,770  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     5,919  
Acquisitions     0  
Amortization     (275)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) 5,644   5,644  
HCI reporting unit        
Goodwill:        
Goodwill, beginning balance     40,862  
Net working capital adjustments     0  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     0  
Goodwill, ending balance 40,862   40,862  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     14,519  
Acquisitions     0  
Amortization     (291)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) $ 14,228   $ 14,228