Goodwill and Intangibles (Tables)

9 Months Ended

Sep. 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 nine months ended September 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	38,471			5,771			551			938			—			45,731
Noncontrolling interests	4,248			1,569			—			550			—			6,367
Adjustments and disposals	595			1,215			495			—			107			2,412
Balance as of September 30, 2019	$	865,916		$	127,138		$	166,629		$	15,682		$	40,862		$	1,216,227
Intangible assets
Balance as of December 31, 2018	$	215,382		$	37,010		$	23,948		$	4,147		$	16,892		$	297,379
Acquisitions	11,863			1,783			154			1,202			—			15,002
Adjustments and disposals	(7,612		)	1,283			(1		)	(1		)	(582		)	(6,913		)
Amortization	(363		)	(72		)	(3		)	(29		)	(484		)	(951		)
Balance as of September 30, 2019	$	219,270		$	40,004		$	24,098		$	5,319		$	15,826		$	304,517

Summary of Changes in Intangible Assets

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

	2019			2018
Indefinite-lived intangible assets:
Trade Names	$	162,780		$	156,049
Certificates of Need/Licenses	129,121			128,577
Net Total	$	291,901		$	284,626
Definite-lived intangible assets:
Trade Names
Gross carrying amount	$	10,182		$	10,127
Accumulated amortization	(9,157		)	(8,817		)
Net total	$	1,025		$	1,310
Non-compete agreements
Gross carrying amount	$	6,739		$	5,980
Accumulated amortization	(5,904		)	(5,729		)
Net total	$	835		$	251
Customer relationships
Gross carrying amount	$	11,822		$	11,822
Accumulated amortization	(1,066		)	(630		)
Net total	$	10,756		$	11,192
Total definite-lived intangible assets
Gross carrying amount	$	28,743		$	27,929
Accumulated amortization	(16,127		)	(15,176		)
Net total	$	12,616		$	12,753
Total intangible assets:
Gross carrying amount	$	320,644		$	312,555
Accumulated amortization	(16,127		)	(15,176		)
Net total	$	304,517		$	297,379

Summary of Changes in Intangible Assets

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

	2019			2018
Indefinite-lived intangible assets:
Trade Names	$	162,780		$	156,049
Certificates of Need/Licenses	129,121			128,577
Net Total	$	291,901		$	284,626
Definite-lived intangible assets:
Trade Names
Gross carrying amount	$	10,182		$	10,127
Accumulated amortization	(9,157		)	(8,817		)
Net total	$	1,025		$	1,310
Non-compete agreements
Gross carrying amount	$	6,739		$	5,980
Accumulated amortization	(5,904		)	(5,729		)
Net total	$	835		$	251
Customer relationships
Gross carrying amount	$	11,822		$	11,822
Accumulated amortization	(1,066		)	(630		)
Net total	$	10,756		$	11,192
Total definite-lived intangible assets
Gross carrying amount	$	28,743		$	27,929
Accumulated amortization	(16,127		)	(15,176		)
Net total	$	12,616		$	12,753
Total intangible assets:
Gross carrying amount	$	320,644		$	312,555
Accumulated amortization	(16,127		)	(15,176		)
Net total	$	304,517		$	297,379