Annual report pursuant to Section 13 and 15(d)

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

v3.19.3.a.u2
Goodwill and Other Intangibles, Net - Schedule of Changes in Goodwill by Segment (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Goodwill [Roll Forward]    
Balance at beginning of period $ 1,161,717 $ 392,601
Acquisitions 48,452 765,688
Noncontrolling interests 7,390 3,803
Adjustments and disposals 2,413 (375)
Balance at end of period 1,219,972 1,161,717
Intangible Assets [Roll Forward]    
Balance at beginning of period 297,379 134,611
Acquisitions 16,345 166,820
Amortization (1,255) (2,136)
Adjustments and disposals (6,913) (1,916)
Balance at end of period 305,556 297,379
Home Health    
Goodwill [Roll Forward]    
Balance at beginning of period 822,602 261,456
Acquisitions 40,237 558,628
Noncontrolling interests 4,489 3,297
Adjustments and disposals 596 (779)
Balance at end of period 867,924 822,602
Intangible Assets [Roll Forward]    
Balance at beginning of period 215,382 88,078
Acquisitions 12,537 130,055
Amortization (436) (1,636)
Adjustments and disposals (7,611) (1,115)
Balance at end of period 219,872 215,382
Hospice    
Goodwill [Roll Forward]    
Balance at beginning of period 118,583 88,814
Acquisitions 6,726 29,263
Noncontrolling interests 2,351 506
Adjustments and disposals 1,215  
Balance at end of period 128,875 118,583
Intangible Assets [Roll Forward]    
Balance at beginning of period 37,010 31,955
Acquisitions 2,452 5,453
Amortization (154) (398)
Adjustments and disposals 1,282 0
Balance at end of period 40,590 37,010
Home and community- based    
Goodwill [Roll Forward]    
Balance at beginning of period 165,583 28,541
Acquisitions 551 137,042
Noncontrolling interests   0
Adjustments and disposals 495 0
Balance at end of period 166,629 165,583
Intangible Assets [Roll Forward]    
Balance at beginning of period 23,948 9,533
Acquisitions 154 14,420
Amortization (4) (5)
Adjustments and disposals (2) 0
Balance at end of period 24,096 23,948
Facility-based    
Goodwill [Roll Forward]    
Balance at beginning of period 14,194 13,790
Acquisitions 938  
Noncontrolling interests 550  
Adjustments and disposals   404
Balance at end of period 15,682 14,194
Intangible Assets [Roll Forward]    
Balance at beginning of period 4,147 5,045
Acquisitions 1,202  
Amortization (32) (97)
Adjustments and disposals 0 (801)
Balance at end of period 5,317 4,147
HCI    
Goodwill [Roll Forward]    
Balance at beginning of period 40,755 0
Acquisitions 0 40,755
Noncontrolling interests 0  
Adjustments and disposals 107  
Balance at end of period 40,862 40,755
Intangible Assets [Roll Forward]    
Balance at beginning of period 16,892 0
Acquisitions 0 16,892
Amortization (629) 0
Adjustments and disposals (582) 0
Balance at end of period $ 15,681 $ 16,892