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Goodwill and Other Intangibles, Net
 12 Months Ended
Dec. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Other Intangibles, Net Goodwill and Other Intangibles, Net
The following table summarizes changes in goodwill and other intangibles assets by segment during the twelve months ended December 31, 2020 and 2019 (amounts in thousands):
Home Health
Hospice
Home and community-
based
Facility-based
HCI
Total
Goodwill
Balance as of December 31, 2018$822,602 $118,583 $165,583 $14,194 $40,755 $1,161,717 
Acquisitions40,237 6,726 551 938 — 48,452 
Noncontrolling interests4,489 2,351 — 550 — 7,390 
Adjustments and disposals596 1,215 495 — 107 2,413 
Balance as of December 31, 2019$867,924 $128,875 $166,629 $15,682 $40,862 $1,219,972 
Acquisitions12,025 21,025 134 88 — 33,272 
Noncontrolling interests4,695 2,122 10 — — 6,827 
Adjustments and disposals(644)(280)— — — (924)
Balance as of December 31, 2020$884,000 $151,742 $166,773 $15,770 $40,862 $1,259,147 
Intangibles Assets
Balance as of December 31, 2018$215,382 $37,010 $23,948 $4,147 $16,892 $297,379 
Acquisitions12,537 2,452 154 1,202 — 16,345 
Amortization(436)(154)(4)(32)(629)(1,255)
Adjustments and disposals(7,611)1,282 (2)— (582)(6,913)
Balance as of December 31, 2019$219,872 $40,590 $24,096 $5,317 $15,681 $305,556 
Acquisitions7,193 4,212 127 — — 11,532 
Amortization(556)(70)(15)(6)(581)(1,228)
Adjustments and disposals(505)— — — — (505)
Balance as of December 31, 2020$226,004 $44,732 $24,208 $5,311 $15,100 $315,355 
The Company determined that there was no impairment for the goodwill of any reporting units as of December 31, 2020, 2019 and 2018 based on the Company's annual impairment testing. The Company did record $0.5 million of impairment of goodwill during the year ended December 31, 2020 and $0.6 million during the years ended December 31, 2019 and 2018. The goodwill impairment was due to the closure of underperforming locations. The amount of disposal of goodwill was determined using prices of comparable businesses in the market. This was recorded in impairment of intangibles and other on the Company's consolidated statements of income and disclosed in the changes in goodwill table in adjustments and disposals.
The Company performed an impairment analysis on its indefinite-lived intangible assets related to the Company's trade names, licenses and certificates of need and determined that it is not more likely than not that the fair values of the indefinite-lived intangible assets are less than its carrying amount as of November 30, 2020; however, the Company did record $0.7 million, $7.1 million, and $3.7 million during the years ended December 31, 2020, 2019 and 2018. During the years ended December 31, 2020 and 2018, the impairments related to closures of underperforming locations. During the year ended December 31, 2019, the impairments related to the lifting of a moratoria of $6.1 million and closure of underperforming locations of $1.0 million. The Medicare license impairment was a result of CMS action to remove all federal moratoria with regard to Medicare provider enrollment in four states. This was recorded in impairment of intangibles and other on the Company's consolidated statements of income and disclosed in the changes in intangible assets table in adjustments and disposals.
The following tables summarize the changes in intangible assets during the twelve months ended December 31, 2020 and 2019 (amounts in thousands):
20202019
Indefinite-lived intangible assets:
  Trade Names$168,700 $163,499 
  Certificates of Need/Licenses135,013 129,689 
  Net total$303,713 $293,188 
Definite-lived intangible assets:
  Trade Names
Gross carrying amount$10,212 $10,182 
Accumulated amortization(9,480)(9,229)
Net total$732 $953 
Non-compete agreements
Gross carrying amount$7,267 $6,795 
Accumulated amortization(6,387)(5,991)
Net total$880 $804 
Customer relationships
Gross carrying amount$11,822 $11,822 
Accumulated amortization(1,792)(1,211)
Net total$10,030 $10,611 
Total definite-lived intangible assets
Gross carrying amount$29,301 $28,799 
Accumulated amortization(17,659)(16,431)
Net total$11,642 $12,368 
Total intangible assets:
Gross carrying amount$333,014 $321,987 
Accumulated amortization(17,659)(16,431)
Net total$315,355 $305,556 
Remaining useful lives of trade names, customer relationships, and non-compete agreements were 8.8, 17.3, and 2.9 years, respectively at December 31, 2020. Similar amounts at December 31, 2019 were 9.8 and 18.2 and 2.8 years, respectively.
Amortization expense for the Company's intangible assets was $1.2 million, $1.3 million, and $2.1 million for the years ended December 31, 2020, 2019 and 2018, which was recorded in general and administrative expenses.
The estimated intangible asset amortization expense for each of the five years subsequent to December 31, 2020 is as follows (amounts in thousands):
YearAmortization amount
2021$1,187 
2022993 
2023831 
2024687 
2025687 
Total$4,385