Goodwill and Intangibles (Tables)

3 Months Ended

Mar. 31, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Changes in Recorded Goodwill by Reporting Unit

The changes in recorded goodwill by reporting unit for the three months ended March 31, 2019 were as follows (amounts in thousands):

	Home health reporting unit		Hospice reporting unit		Home and community-based services reporting  unit		Facility-based reporting  unit		HCI reporting unit		Total
Balance as of December 31, 2018	$	822,602	$	118,583	$	165,583	$	14,194	$	40,755	$	1,161,717
Acquisitions	1,278		—		—		—		—		1,278
Noncontrolling interests	532		—		—		—		—		532
Adjustments and disposals............................................	856		14		495		—		107		1,472
Balance as of March 31, 2019	$	825,268	$	118,597	$	166,078	$	14,194	$	40,862	$	1,164,999

Summary of Changes in Intangible Assets

he following tables summarize the changes in intangible assets during the three months ended March 31, 2019 and December 31, 2018 (amounts in thousands): 

	2019			2018
Indefinite-lived intangible assets:
Trade Names	$	156,401		$	156,049
Certificates of Need/Licenses	122,915			128,577
Net Total	279,316			284,626
Definite-lived intangible assets:
Trade Names
Gross carrying amount	10,127			10,127
Accumulated amortization	(8,984		)	(8,817		)
Net total	1,143			1,310
Non-compete agreements
Gross carrying amount	6,238			5,980
Accumulated amortization	(5,790		)	(5,729		)
Net total	448			251
Customer relationships
Gross carrying amount	11,822			11,822
Accumulated amortization	(775		)	(630		)
Net total	11,047			11,192
Total definite-lived intangible assets
Gross carrying amount	28,187			27,929
Accumulated amortization	(15,549		)	(15,176		)
Net total	12,638			12,753
Total intangible assets:
Gross carrying amount	307,503			312,555
Accumulated amortization	(15,549		)	(15,176		)
Net total	$	291,954		$	297,379

Summary of Changes in Intangible Assets

he following tables summarize the changes in intangible assets during the three months ended March 31, 2019 and December 31, 2018 (amounts in thousands): 

	2019			2018
Indefinite-lived intangible assets:
Trade Names	$	156,401		$	156,049
Certificates of Need/Licenses	122,915			128,577
Net Total	279,316			284,626
Definite-lived intangible assets:
Trade Names
Gross carrying amount	10,127			10,127
Accumulated amortization	(8,984		)	(8,817		)
Net total	1,143			1,310
Non-compete agreements
Gross carrying amount	6,238			5,980
Accumulated amortization	(5,790		)	(5,729		)
Net total	448			251
Customer relationships
Gross carrying amount	11,822			11,822
Accumulated amortization	(775		)	(630		)
Net total	11,047			11,192
Total definite-lived intangible assets
Gross carrying amount	28,187			27,929
Accumulated amortization	(15,549		)	(15,176		)
Net total	12,638			12,753
Total intangible assets:
Gross carrying amount	307,503			312,555
Accumulated amortization	(15,549		)	(15,176		)
Net total	$	291,954		$	297,379