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, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Goodwill:        
Goodwill, beginning balance     $ 1,748,426  
Net working capital adjustments     1,440  
Acquisitions     2,190  
Noncontrolling interests     504  
Disposals     (2,140)  
Goodwill, ending balance $ 1,750,420   1,750,420  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     400,002  
Acquisitions     1,010  
Amortization (1,000) $ (400) (3,713) $ (1,000)
Disposals     (1,990)  
Intangible assets, ending balance (excluding goodwill) 395,309   395,309  
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     1,010  
Amortization     (1,589)  
Disposals     (491)  
Intangible assets, ending balance (excluding goodwill) 236,909   236,909  
Hospice reporting unit        
Goodwill:        
Goodwill, beginning balance     556,332  
Net working capital adjustments     1,440  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     (1,460)  
Goodwill, ending balance 556,312   556,312  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     117,340  
Acquisitions     0  
Amortization     (1,346)  
Disposals     (1,217)  
Intangible assets, ending balance (excluding goodwill) 114,777   114,777  
Home and community-based services reporting  unit        
Goodwill:        
Goodwill, beginning balance     167,027  
Net working capital adjustments     0  
Acquisitions     0  
Noncontrolling interests     0  
Disposals     (240)  
Goodwill, ending balance 166,787   166,787  
Intangible assets:        
Intangible assets, beginning balance (excluding goodwill)     24,245  
Acquisitions     0  
Amortization     (8)  
Disposals     (282)  
Intangible assets, ending balance (excluding goodwill) 23,955   23,955  
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     (334)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) 5,585   5,585  
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     (436)  
Disposals     0  
Intangible assets, ending balance (excluding goodwill) $ 14,083   $ 14,083