Goodwill and Intangibles (Tables)

6 Months Ended

Jun. 30, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Changes in Recorded Goodwill by Reporting Unit

The changes in recorded goodwill and intangible assets by reporting unit for the six months ended June 30, 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
Goodwill
Balance as of December 31, 2018	$	822,602		$	118,583		$	165,583		$	14,194		$	40,755		$	1,161,717
Acquisitions	13,113			5,626			—			—			—			18,739
Noncontrolling interests	3,826			1,533			—			—			—			5,359
Adjustments and disposals	595			1,215			495			—			107			2,412
Balance as of June 30, 2019	$	840,136		$	126,957		$	166,078		$	14,194		$	40,862		$	1,188,227
Intangible assets
Balance as of December 31, 2018	$	215,382		$	37,010		$	23,948		$	4,147		$	16,892		$	297,379
Acquisitions	4,981			1,750			—			—			—			6,731
Adjustments and disposals	(7,719		)	1,633			—			—			(630		)	(6,716		)
Amortization	(308		)	(51		)	(2		)	(26		)	(291		)	(678		)
Balance as of June 30, 2019	$	212,336		$	40,342		$	23,946		$	4,121		$	15,971		$	296,716

Summary of Changes in Intangible Assets

The following tables summarize the changes in intangible assets during the six months ended June 30, 2019 and December 31, 2018 (amounts in thousands): 

	2019			2018
Indefinite-lived intangible assets:
Trade Names	$	159,632		$	156,049
Certificates of Need/Licenses	124,751			128,577
Net Total	$	284,383		$	284,626
Definite-lived intangible assets:
Trade Names
Gross carrying amount	$	10,127		$	10,127
Accumulated amortization	(9,087		)	(8,817		)
Net total	$	1,040		$	1,310
Non-compete agreements
Gross carrying amount	$	6,238		$	5,980
Accumulated amortization	(5,846		)	(5,729		)
Net total	$	392		$	251
Customer relationships
Gross carrying amount	$	11,822		$	11,822
Accumulated amortization	(921		)	(630		)
Net total	$	10,901		$	11,192
Total definite-lived intangible assets
Gross carrying amount	$	28,187		$	27,929
Accumulated amortization	(15,854		)	(15,176		)
Net total	$	12,333		$	12,753
Total intangible assets:
Gross carrying amount	$	312,570		$	312,555
Accumulated amortization	(15,854		)	(15,176		)
Net total	$	296,716		$	297,379

Summary of Changes in Intangible Assets

The following tables summarize the changes in intangible assets during the six months ended June 30, 2019 and December 31, 2018 (amounts in thousands): 

	2019			2018
Indefinite-lived intangible assets:
Trade Names	$	159,632		$	156,049
Certificates of Need/Licenses	124,751			128,577
Net Total	$	284,383		$	284,626
Definite-lived intangible assets:
Trade Names
Gross carrying amount	$	10,127		$	10,127
Accumulated amortization	(9,087		)	(8,817		)
Net total	$	1,040		$	1,310
Non-compete agreements
Gross carrying amount	$	6,238		$	5,980
Accumulated amortization	(5,846		)	(5,729		)
Net total	$	392		$	251
Customer relationships
Gross carrying amount	$	11,822		$	11,822
Accumulated amortization	(921		)	(630		)
Net total	$	10,901		$	11,192
Total definite-lived intangible assets
Gross carrying amount	$	28,187		$	27,929
Accumulated amortization	(15,854		)	(15,176		)
Net total	$	12,333		$	12,753
Total intangible assets:
Gross carrying amount	$	312,570		$	312,555
Accumulated amortization	(15,854		)	(15,176		)
Net total	$	296,716		$	297,379