Goodwill and Intangibles (Tables)

6 Months Ended

Jun. 30, 2020

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, 2020 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, 2019	$	867,924		$	128,875		$	166,629		$	15,682		$	40,862		$	1,219,972
Acquisitions	7,278			2,678			—			—			—			9,956
Noncontrolling interests	2,882			1,779			—			—			—			4,661
Adjustments and disposals	(108		)	(336		)	—			—			—			(444		)
Balance as of June 30, 2020	$	877,976		$	132,996		$	166,629		$	15,682		$	40,862		$	1,234,145
Intangible assets:
Balance as of December 31, 2019	$	219,872		$	40,590		$	24,096		$	5,317		$	15,681		$	305,556
Acquisitions	4,700			930			—			—			—			5,630
Amortization	(288		)	(46		)	(11		)	(3		)	(290		)	(638		)
Balance as of June 30, 2020	$	224,284		$	41,474		$	24,085		$	5,314		$	15,391		$	310,548

Summary of Changes in Intangible Assets, Indefinite

The following tables summarize the changes in intangible assets during the six months ended June 30, 2020 and December 31, 2019 (amounts in thousands): 

	2020			2019
Indefinite-lived intangible assets:
Trade Names	$	165,417		$	163,499
Certificates of Need/Licenses	133,273			129,689
Net Total	$	298,690		$	293,188
Definite-lived intangible assets:
Trade Names
Gross carrying amount	$	10,209		$	10,182
Accumulated amortization	(9,378		)	(9,229		)
Net total	$	831		$	953
Non-compete agreements
Gross carrying amount	$	6,897		$	6,795
Accumulated amortization	(6,191		)	(5,991		)
Net total	$	706		$	804
Customer relationships
Gross carrying amount	$	11,822		$	11,822
Accumulated amortization	(1,501		)	(1,211		)
Net total	$	10,321		$	10,611
Total definite-lived intangible assets
Gross carrying amount	$	28,928		$	28,799
Accumulated amortization	(17,070		)	(16,431		)
Net total	$	11,858		$	12,368
Total intangible assets:
Gross carrying amount	$	327,618		$	321,987
Accumulated amortization	(17,070		)	(16,431		)
Net total	$	310,548		$	305,556

Summary of Changes in Intangible Assets, Finite

The following tables summarize the changes in intangible assets during the six months ended June 30, 2020 and December 31, 2019 (amounts in thousands): 

	2020			2019
Indefinite-lived intangible assets:
Trade Names	$	165,417		$	163,499
Certificates of Need/Licenses	133,273			129,689
Net Total	$	298,690		$	293,188
Definite-lived intangible assets:
Trade Names
Gross carrying amount	$	10,209		$	10,182
Accumulated amortization	(9,378		)	(9,229		)
Net total	$	831		$	953
Non-compete agreements
Gross carrying amount	$	6,897		$	6,795
Accumulated amortization	(6,191		)	(5,991		)
Net total	$	706		$	804
Customer relationships
Gross carrying amount	$	11,822		$	11,822
Accumulated amortization	(1,501		)	(1,211		)
Net total	$	10,321		$	10,611
Total definite-lived intangible assets
Gross carrying amount	$	28,928		$	28,799
Accumulated amortization	(17,070		)	(16,431		)
Net total	$	11,858		$	12,368
Total intangible assets:
Gross carrying amount	$	327,618		$	321,987
Accumulated amortization	(17,070		)	(16,431		)
Net total	$	310,548		$	305,556