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SEGMENT INFORMATION - Operating Income of Reportable Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Segment Reporting Information [Line Items]                        
Net service revenue $ 434,400 $ 417,300 $ 411,600 $ 399,300 $ 398,000 $ 373,700 $ 374,900 $ 364,700   $ 1,662,578 $ 1,511,272 $ 1,419,261
Cost of service, excluding depreciation and amortization                   992,863 903,377 834,381
General and administrative expenses                   501,300 482,300 503,400
Depreciation and amortization                   13,261 17,123 19,678
Securities Class Action Lawsuit settlement, net                   0 28,712 0
Asset impairment charge                 $ 4,400 0 1,323 4,432
Operating expenses                   1,507,430 1,432,748 1,361,921
Operating income (loss)                   155,148 78,524 57,340
Home Health [Member] | Reportable Business Segments [Member]                        
Segment Reporting Information [Line Items]                        
Net service revenue                   1,174,500 1,083,900 1,071,700
Cost of service, excluding depreciation and amortization                   722,100 670,900 643,700
General and administrative expenses                   276,300 278,400 283,400
Depreciation and amortization                   3,500 3,500 6,000
Securities Class Action Lawsuit settlement, net                     0  
Asset impairment charge                     1,300 0
Operating expenses                   1,001,900 954,100 933,100
Operating income (loss)                   172,600 129,800 138,600
Hospice [Member] | Reportable Business Segments [Member]                        
Segment Reporting Information [Line Items]                        
Net service revenue                   410,900 367,800 311,900
Cost of service, excluding depreciation and amortization                   212,000 187,500 164,500
General and administrative expenses                   84,600 76,600 70,200
Depreciation and amortization                   1,100 900 1,300
Securities Class Action Lawsuit settlement, net                     0  
Asset impairment charge                     0 0
Operating expenses                   297,700 265,000 236,000
Operating income (loss)                   113,200 102,800 75,900
Personal Care [Member] | Reportable Business Segments [Member]                        
Segment Reporting Information [Line Items]                        
Net service revenue                   77,200 59,600 35,700
Cost of service, excluding depreciation and amortization                   58,800 45,000 26,300
General and administrative expenses                   12,800 9,500 5,800
Depreciation and amortization                   300 200 0
Securities Class Action Lawsuit settlement, net                     0  
Asset impairment charge                     0 0
Operating expenses                   71,900 54,700 32,100
Operating income (loss)                   5,300 4,900 3,600
Other [Member] | Other Segment [Member]                        
Segment Reporting Information [Line Items]                        
Net service revenue                   0 0 0
Cost of service, excluding depreciation and amortization                   0 0 0
General and administrative expenses                   127,600 117,800 144,000
Depreciation and amortization                   8,400 12,500 12,400
Securities Class Action Lawsuit settlement, net                     28,700  
Asset impairment charge                     0 4,400
Operating expenses                   136,000 159,000 160,800
Operating income (loss)                   $ (136,000) $ (159,000) $ (160,800)