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SEGMENT INFORMATION - Operating Income of Reportable Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Segment Reporting Information [Line Items]                      
Net service revenue $ 500,700 $ 494,600 $ 493,000 $ 467,300 $ 434,400 $ 417,300 $ 411,600 $ 399,300 $ 1,955,633 $ 1,662,578 $ 1,511,272
Cost of service, excluding depreciation and amortization                 1,150,337 992,863 903,377
General and administrative expenses                 607,900 501,300 482,300
Depreciation and amortization                 18,428 13,261 17,123
Securities Class Action Lawsuit settlement, net                 0 0 28,712
Asset impairment charge                 1,470 0 1,323
Operating expenses                 1,778,161 1,507,430 1,432,748
Operating income (loss)                 177,472 155,148 78,524
Home Health [Member] | Reportable Business Segments [Member]                      
Segment Reporting Information [Line Items]                      
Net service revenue                 1,256,400 1,174,500 1,083,900
Cost of service, excluding depreciation and amortization                 754,100 722,100 670,900
General and administrative expenses                 297,200 276,300 278,400
Depreciation and amortization                 4,200 3,500 3,500
Securities Class Action Lawsuit settlement, net                     0
Asset impairment charge                 1,500   1,300
Operating expenses                 1,057,000 1,001,900 954,100
Operating income (loss)                 199,400 172,600 129,800
Hospice [Member] | Reportable Business Segments [Member]                      
Segment Reporting Information [Line Items]                      
Net service revenue                 617,200 410,900 367,800
Cost of service, excluding depreciation and amortization                 335,100 212,000 187,500
General and administrative expenses                 137,500 84,600 76,600
Depreciation and amortization                 1,600 1,100 900
Securities Class Action Lawsuit settlement, net                     0
Asset impairment charge                 0   0
Operating expenses                 474,200 297,700 265,000
Operating income (loss)                 143,000 113,200 102,800
Personal Care [Member] | Reportable Business Segments [Member]                      
Segment Reporting Information [Line Items]                      
Net service revenue                 82,000 77,200 59,600
Cost of service, excluding depreciation and amortization                 61,100 58,800 45,000
General and administrative expenses                 12,300 12,800 9,500
Depreciation and amortization                 200 300 200
Securities Class Action Lawsuit settlement, net                     0
Asset impairment charge                 0   0
Operating expenses                 73,600 71,900 54,700
Operating income (loss)                 8,400 5,300 4,900
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                 160,900 127,600 117,800
Depreciation and amortization                 12,400 8,400 12,500
Securities Class Action Lawsuit settlement, net                     28,700
Asset impairment charge                 0   0
Operating expenses                 173,300 136,000 159,000
Operating income (loss)                 $ (173,300) $ (136,000) $ (159,000)