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Goodwill and Intangibles
 6 Months Ended
Jun. 30, 2021
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangibles Goodwill and Intangibles The changes in recorded goodwill and intangible assets by reporting unit for the six months ended June 30, 2021 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, 2020$884,000 $151,742 $166,773 $15,770 $40,862 $1,259,147 
Acquisitions267 — 254 — — 521 
Noncontrolling interests78 — — — — 78 
Disposals(20)— — — — (20)
Balance as of June 30, 2021$884,325 $151,742 $167,027 $15,770 $40,862 $1,259,726 
Intangible assets:
Balance as of December 31, 2020$226,004 $44,732 $24,208 $5,311 $15,100 $315,355 
Acquisitions118 — 46 — — 164 
Amortization(232)(72)(4)(4)(290)(602)
Disposals(1,279)— — — — (1,279)
Balance as of June 30, 2021$224,611 $44,660 $24,250 $5,307 $14,810 $313,638 
The Company did record impairments of goodwill and intangible assets related to the closure of underperforming locations. Goodwill impairment of $0.02 million and Medicare licenses impairment of $0.9 million was recorded during the six months ended June 30, 2021. This was recorded in impairment of intangibles and other on the company's condensed consolidated statements of income. The amount of disposal of goodwill was determined using prices of comparable businesses in the market and the amount of disposal of the Medicare licenses was its carrying value at the time of closure. In addition, the Company divested a certificate of need of $0.4 million, which was accounted for as a loss on the sale of an entity and recorded in general and administrative expenses.
The following tables summarize the changes in intangible assets during the six months ended June 30, 2021 and December 31, 2020 (amounts in thousands): 
20212020
Indefinite-lived intangible assets:
   Trade names$168,700 $168,700 
   Certificates of Need/Licenses133,863 135,013 
   Net total$302,563 $303,713 
Definite-lived intangible assets:
   Trade names
      Gross carrying amount$10,238 $10,212 
      Accumulated amortization(9,543)(9,480)
      Net total$695 $732 
   Non-compete agreements
      Gross carrying amount$7,276 $7,267 
      Accumulated amortization(6,634)(6,387)
      Net total$642 $880 
   Customer relationships
      Gross carrying amount$11,822 $11,822 
      Accumulated amortization(2,084)(1,792)
      Net total$9,738 $10,030 
   Total definite-lived intangible assets
      Gross carrying amount$29,336 $29,301 
      Accumulated amortization(18,261)(17,659)
      Net total$11,075 $11,642 
Total intangible assets:
   Gross carrying amount$331,899 $333,014 
   Accumulated amortization(18,261)(17,659)
   Net total$313,638 $315,355 
         
Remaining useful lives for trade names, customer relationships, and non-compete agreements were 8.3, 16.8, and 2.8 years, respectively, at June 30, 2021. Similar periods at December 31, 2020 were 8.8, 17.3, and 2.9 years for trade names, customer relationships, and non-compete agreements, respectively. Amortization expense was $0.3 million for three months ended June 30, 2021 and 2020 and $0.6 million for the six months ended June 30, 2021 and 2020. Amortization expense was recorded in general and administrative expenses.