Goodwill and Intangibles (Tables)

6 Months Ended

Jun. 30, 2021

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, 2021 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, 2020	$	884,000	$	151,742	$	166,773	$	15,770	$	40,862	$	1,259,147
Acquisitions	267		—		254		—		—		521
Noncontrolling interests	78		—		—		—		—		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
Acquisitions	118		—		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

Summary of Changes in Intangible Assets, Indefinite

The following tables summarize the changes in intangible assets during the six months ended June 30, 2021 and December 31, 2020 (amounts in thousands): 

	2021		2020
Indefinite-lived intangible assets:
Trade names	$	168,700	$	168,700
Certificates of Need/Licenses	133,863		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

Summary of Changes in Intangible Assets, Finite

The following tables summarize the changes in intangible assets during the six months ended June 30, 2021 and December 31, 2020 (amounts in thousands): 

	2021		2020
Indefinite-lived intangible assets:
Trade names	$	168,700	$	168,700
Certificates of Need/Licenses	133,863		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