Annual report pursuant to Section 13 and 15(d)

Acquisitions and Joint Venture Activities - Almost Family Merger (Details)

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Acquisitions and Joint Venture Activities - Almost Family Merger (Details) - USD ($)
$ in Thousands
Apr. 01, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Recognized amounts of identifiable assets acquired and liabilities assumed:        
Goodwill   $ 1,219,972 $ 1,161,717 $ 392,601
Almost Family        
Business Acquisition [Line Items]        
Stock $ 795,412      
Recognized amounts of identifiable assets acquired and liabilities assumed:        
Cash and cash equivalents 16,547      
Patient account receivable 88,234      
Prepaid income taxes 47      
Prepaid expenses and other current assets 11,490      
Property and equipment 11,144      
Customer relationships 13,970      
Assets held for sale 2,500      
Deferred income taxes 4,821      
Accounts payable (43,027)      
Accrued other liabilities (57,243)      
Seller notes payable (12,145)      
NCI - Redeemable (8,034)      
Long term income taxes payable (3,786)      
Line of credit (106,800)      
NCI - Nonredeemable (36,609)      
Other assets and (liabilities), net (178)      
Total identifiable assets and liabilities 33,526      
Goodwill 761,886      
Trade Names | Almost Family        
Recognized amounts of identifiable assets acquired and liabilities assumed:        
Indefinite-lived intangible assets 76,090      
Certificates of need/licenses | Almost Family        
Recognized amounts of identifiable assets acquired and liabilities assumed:        
Indefinite-lived intangible assets $ 76,505