Goodwill and Other Intangibles, Net (Tables)

12 Months Ended

Dec. 31, 2017

Goodwill and Intangible Assets Disclosure [Abstract]

The following table summarizes changes in goodwill by reporting unit during the twelve months ended December 31, 2017 and 2016 (amounts in thousands):



	Home health reporting unit			Hospice reporting unit			Community- based reporting unit		Facility-based reporting unit			Total
Balance as of December 31, 2015	$	202,995		$	58,136		$	17,972	$	11,591		$	290,694
Goodwill from acquisitions	6,760			7,460			848		1,493			16,561
Goodwill related to noncontrolling interests	580			355			—		340			1,275
Goodwill related to prior period net working capital adjustments	504			(1,717		)	—		—			(1,213		)
Balance as of December 31, 2016	$	210,839		$	64,234		$	18,820	$	13,424		$	307,317
Goodwill from acquisitions	30,623			15,000			6,220		160			52,003
Goodwill related to noncontrolling interests	21,469			9,580			3,501		(141		)	34,409
Goodwill related to impairment on disposals	(1,470		)	—			—		—			(1,470		)
Goodwill related to prior year adjustments	(5		)	—			—		347			342
Balance as of December 31, 2017	$	261,456		$	88,814		$	28,541	$	13,790		$	392,601

Schedule Of Acquired Finite And Indefinite Lived Intangible Assets By Major Class Table

The following tables summarize the changes in intangible assets during the twelve months ended December 31, 2017 and 2016 (amounts in thousands):



	December 31, 2017
	Remaining useful life	Gross carrying amount		Accumulated amortization		Net carrying amount
Indefinite-lived assets:
Trade names	Indefinite	$	78,299	$	—	$	78,299



Certificates of need/licenses	Indefinite	53,493		—			53,493
Total		131,792		—			131,792
Amortizing assets:
Trade names	4 months – 10 years	10,127		(7,547		)	2,580
Non-compete agreements	2 months – 2 years	5,732		(5,494		)	238
Total		15,859		(13,041		)	2,818
Balance at December 31, 2017		$	147,651	$	(13,041	)	$	134,610



	December 31, 2016
	Remaining useful life	Gross carrying amount		Accumulated amortization			Net carrying amount
Indefinite-lived assets:
Trade names	Indefinite	$	64,672	$	—		$	64,672
Certificates of need/licenses	Indefinite	33,327		—			33,327
Total		$	97,999	$	—		$	97,999
Amortizing assets:
Trade names	8 months – 9 years	$	9,294	$	(5,991	)	$	3,303
Non-compete agreements	2 months – 3 years	5,681		(4,977		)	704
Total		14,975		(10,968		)	4,007
Balance at December 31, 2016		$	112,974	$	(10,968	)	$	102,006

Schedule of Intangible Asset Future Amortization Expense

The estimated intangible asset amortization expense for each of the five years subsequent to December 31, 2017 is as follows (amounts in thousands):



Year	Amortization amount
2018	$	1,467
2019	448
2020	236
2021	105
2022	100
Total	$	2,356