Kindred Healthcare has completed its purchase of Gentiva Health Services in a deal valued at $1.8 billion, including assumed debt.

By adding the provider of hospice, healthcare and community care services to its portfolio, Kindred at Home becomes the largest and most geographically diversified home health and hospice organization in the United States.

The expanded Kindred will serve more than 1.1 million patients per year in 47 states. It will have about 105,200 employees, making it the 81st largest private employer nationwide.