Goodwill and Other Intangibles, Net (Tables)

12 Months Ended

Dec. 31, 2018

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The following table summarizes changes in goodwill by reporting unit during the twelve months ended December 31, 2018 and 2017 (amounts in thousands):

	Home health			Hospice		Home and community- based		Facility-based			Healthcare Innovations		Total
Balance as of December 31, 2016	$	210,839		$	64,234	$	18,820	$	13,424		—		$	307,317
Acquisitions	30,623			15,000		6,220		160			—		52,003
Noncontrolling interests	21,469			9,580		3,501		(141		)	—		34,409
Adjustments and disposals	(1,475		)	—		—		347			—		(1,128		)
Balance as of December 31, 2017	$	261,456		$	88,814	$	28,541	$	13,790		$	—	$	392,601
Acquisitions	558,628			29,263		137,042		—			40,755		765,688
Noncontrolling interests	3,297			506		—		—			—		3,803
Adjustments and disposals	(779		)	—		—		404			—		(375		)
Balance as of December 31, 2018	$	822,602		$	118,583	$	165,583	$	14,194		$	40,755	$	1,161,717

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, 2018 and 2017 (amounts in thousands):

	2018			2017
Indefinite-lived intangible assets:
Trade Names	$	156,049		$	78,299
Certificates of Need/Licenses	128,577			53,493
Net total	284,626			131,792
Definite-lived intangible assets:
Trade Names
Gross carrying amount	10,127			10,127
Accumulated amortization	(8,817		)	(7,547		)
Net total	1,310			2,580
Non-compete agreements
Gross carrying amount	5,980			5,732
Accumulated amortization	(5,729		)	(5,494		)
Net total	251			238
Customer relationships
Gross carrying amount	11,822			—
Accumulated amortization	(630		)	—
Net total	11,192			—
Total definite-lived intangible assets
Gross carrying amount	27,929			15,859
Accumulated amortization	(15,176		)	(13,041		)

Net total	12,753			2,818
Total intangible assets:
Gross carrying amount	312,555			147,651
Accumulated amortization	(15,176		)	(13,041		)
Net total	$	297,379		$	134,610

Schedule of Intangible Asset Future Amortization Expense

The estimated intangible asset amortization expense for each of the five years subsequent to December 31, 2018 is as follows (amounts in thousands):

Year	Amortization amount
2019	$	1,112
2020	899
2021	732
2022	682
2023	682
Total	$	4,107