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Acquisitions (Narrative) (Details) - USD ($) $ in Thousands |  |  |  |  |  | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | --- | --- | --- | --- | ---
Aug. 01, 2021 | Dec. 04, 2020 | Dec. 01, 2020 | Nov. 01, 2020 | Jul. 01, 2020 | Sep. 30, 2021 | Sep. 30, 2020 | Sep. 30, 2021 | Sep. 30, 2020 | Dec. 31, 2020
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  |  |  |  | $ 29,219 | $ 11,869 |
Goodwill |  |  |  |  |  | $ 497,919 |  | 497,919 |  | $ 469,072
Armada Skilled Homecare [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Goodwill | $ 28,479 |  |  |  |  |  |  |  |  |
Armada Skilled Homecare [Member] | Non-competition Agreements [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired | $ 600 |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives | 5 years |  |  |  |  |  |  |  |  |
Armada Skilled Homecare [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired | $ 400 |  |  |  |  |  |  |  |  |
Armada Skilled Homecare [Member] | New Mexico [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition | 29,800 |  |  |  |  |  |  |  |  |
Acquisition related costs |  |  |  |  |  | 300 |  | 300 |  |
Integration costs |  |  |  |  |  | 400 |  | 400 |  |
Excess cash held by acquired business | $ 700 |  |  |  |  |  |  |  |  |
Queen City Hospice [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Goodwill |  | $ 169,302 |  |  |  |  |  |  |  |
Queen City Hospice [Member] | Non-competition Agreements [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  | $ 1,500 |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  | 5 years |  |  |  |  |  |  |  |
Queen City Hospice [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired |  | $ 7,500 |  |  |  |  |  |  |  |
Queen City Hospice [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  | $ 11,000 |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  | 15 years |  |  |  |  |  |  |  |
Queen City Hospice [Member] | Ohio [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  | $ 194,800 |  |  |  |  |  |  |  |
Acquisition related costs |  |  |  |  |  |  |  | 200 |  |
Integration costs |  |  |  |  |  | $ 400 |  | 2,100 |  |
Excess cash held by acquired business |  | $ 15,400 |  |  |  |  |  |  |  |
County Homemakers [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  | $ 13,475 |  |  |  |  |  |
County Homemakers [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  | $ 300 |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  | 8 years |  |  |  |  |  |
County Homemakers [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  | $ 100 |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  | 1 year |  |  |  |  |  |
County Homemakers [Member] | Pennsylvania [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  | $ 15,800 |  |  |  |  |  |
Integration costs |  |  |  |  |  |  |  | 200 |  |
Excess cash held by acquired business |  |  |  | $ 1,100 |  |  |  |  |  |
A Plus Health Cares Inc |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  | $ 9,732 |  |  |  |  |
A Plus Health Cares Inc | Trade Names [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  | $ 1,400 |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 15 years |  |  |  |  |
A Plus Health Cares Inc | Montana [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  | $ 14,500 |  |  |  |  |
Acquisition related costs |  |  |  |  |  |  | $ 300 |  | $ 300 |
Integration costs |  |  |  |  |  |  |  | $ 100 |  |
Excess cash held by acquired business |  |  |  |  | $ 2,800 |  |  |  |  |
SunLife Hospice [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  | $ 1,700 |  |  |  |  |  |  |
Goodwill |  |  | $ 1,600 |  |  |  |  |  |  |

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