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Goodwill and Intangibles (Tables)
 9 Months Ended
Sep. 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 nine months ended September 30, 2020 were as follows (amounts in thousands):  
Home health reporting unitHospice
reporting
unit		Home and community-based services
reporting
 unit		Facility-based
reporting
 unit		HCI reporting unitTotal
Goodwill:
Balance as of December 31, 2019$867,924 $128,875 $166,629 $15,682 $40,862 $1,219,972 
Acquisitions7,725 2,677 134 — — 10,536 
Noncontrolling interests3,259 1,778 10 — — 5,047 
Adjustments and disposals(105)(327)— — — (432)
Balance as of September 30, 2020$878,803 $133,003 $166,773 $15,682 $40,862 $1,235,123 
Intangible assets:
Balance as of December 31, 2019$219,872 $40,590 $24,096 $5,317 $15,681 $305,556 
Acquisitions5,112 930 127 — — 6,169 
Amortization(427)(60)(13)(4)(436)(940)
Adjustments and disposals182 — — — — 182 
Balance as of September 30, 2020$224,739 $41,460 $24,210 $5,313 $15,245 $310,967 
Summary of Changes in Intangible Assets, Indefinite The following tables summarize the changes in intangible assets during the nine months ended September 30, 2020 and December 31, 2019 (amounts in thousands): 
20202019
Indefinite-lived intangible assets:
   Trade names$165,920 $163,499 
   Certificates of Need/Licenses133,491 129,689 
   Net total$299,411 $293,188 
Definite-lived intangible assets:
   Trade names
      Gross carrying amount$10,209 $10,182 
      Accumulated amortization(9,437)(9,229)
      Net total$772 $953 
   Non-compete agreements
      Gross carrying amount$6,897 $6,795 
      Accumulated amortization(6,288)(5,991)
      Net total$609 $804 
   Customer relationships
      Gross carrying amount$11,822 $11,822 
      Accumulated amortization(1,647)(1,211)
      Net total$10,175 $10,611 
   Total definite-lived intangible assets
      Gross carrying amount$28,928 $28,799 
      Accumulated amortization(17,372)(16,431)
      Net total$11,556 $12,368 
Total intangible assets:
   Gross carrying amount$328,339 $321,987 
   Accumulated amortization(17,372)(16,431)
   Net total$310,967 $305,556 
Summary of Changes in Intangible Assets, Finite The following tables summarize the changes in intangible assets during the nine months ended September 30, 2020 and December 31, 2019 (amounts in thousands): 
20202019
Indefinite-lived intangible assets:
   Trade names$165,920 $163,499 
   Certificates of Need/Licenses133,491 129,689 
   Net total$299,411 $293,188 
Definite-lived intangible assets:
   Trade names
      Gross carrying amount$10,209 $10,182 
      Accumulated amortization(9,437)(9,229)
      Net total$772 $953 
   Non-compete agreements
      Gross carrying amount$6,897 $6,795 
      Accumulated amortization(6,288)(5,991)
      Net total$609 $804 
   Customer relationships
      Gross carrying amount$11,822 $11,822 
      Accumulated amortization(1,647)(1,211)
      Net total$10,175 $10,611 
   Total definite-lived intangible assets
      Gross carrying amount$28,928 $28,799 
      Accumulated amortization(17,372)(16,431)
      Net total$11,556 $12,368 
Total intangible assets:
   Gross carrying amount$328,339 $321,987 
   Accumulated amortization(17,372)(16,431)
   Net total$310,967 $305,556