Goodwill and Other Intangibles, Net (Tables)

12 Months Ended

Dec. 31, 2020

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill and Other Intangibles

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
Acquisitions	40,237		6,726		551		938		—		48,452
Noncontrolling interests	4,489		2,351		—		550		—		7,390
Adjustments and disposals	596		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
Acquisitions	12,025		21,025		134		88		—		33,272
Noncontrolling interests	4,695		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
Acquisitions	12,537		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
Acquisitions	7,193		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

Schedule of Acquired Finite and Indefinite Lived Intangible Assets by Major Class Table

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

	2020		2019
Indefinite-lived intangible assets:
Trade Names	$	168,700	$	163,499
Certificates of Need/Licenses	135,013		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

Schedule of Intangible Asset Future Amortization Expense

The estimated intangible asset amortization expense for each of the five years subsequent to December 31, 2020 is as follows (amounts in thousands):

Year	Amortization amount
2021	$	1,187
2022	993
2023	831
2024	687
2025	687
Total	$	4,385