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Goodwill and Intangibles (Tables)
 9 Months Ended
Sep. 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 nine months ended September 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 
Acquisitions7,057 336,844 254 — — 344,155 
Noncontrolling interests78 — — — — 78 
Disposals(20)— — — — (20)
Balance as of September 30, 2021$891,115 $488,586 $167,027 $15,770 $40,862 $1,603,360 
Intangible assets:
Balance as of December 31, 2020$226,004 $44,732 $24,208 $5,311 $15,100 $315,355 
Acquisitions1,478 35,971 46 — — 37,495 
Amortization(354)(242)(7)(4)(436)(1,043)
Disposals(1,279)— — — — (1,279)
Balance as of September 30, 2021$225,849 $80,461 $24,247 $5,307 $14,664 $350,528 
Schedule of Changes in Intangible Assets, Indefinite The following tables summarize the changes in intangible assets during the nine months ended September 30, 2021 and December 31, 2020 (amounts in thousands): 
20212020
Indefinite-lived intangible assets:
   Trade names$190,743 $168,700 
   Certificates of Need/Licenses147,338 135,013 
   Net total$338,081 $303,713 
Definite-lived intangible assets:
   Trade names
      Gross carrying amount$10,238 $10,212 
      Accumulated amortization(9,575)(9,480)
      Net total$663 $732 
   Non-compete agreements
      Gross carrying amount$9,088 $7,267 
      Accumulated amortization(6,899)(6,387)
      Net total$2,189 $880 
   Customer relationships
      Gross carrying amount$11,822 $11,822 
      Accumulated amortization(2,227)(1,792)
      Net total$9,595 $10,030 
   Total definite-lived intangible assets
      Gross carrying amount$31,148 $29,301 
      Accumulated amortization(18,701)(17,659)
      Net total$12,447 $11,642 
Total intangible assets:
   Gross carrying amount$369,229 $333,014 
   Accumulated amortization(18,701)(17,659)
   Net total$350,528 $315,355 
Schedule of Changes in Intangible Assets, Finite The following tables summarize the changes in intangible assets during the nine months ended September 30, 2021 and December 31, 2020 (amounts in thousands): 
20212020
Indefinite-lived intangible assets:
   Trade names$190,743 $168,700 
   Certificates of Need/Licenses147,338 135,013 
   Net total$338,081 $303,713 
Definite-lived intangible assets:
   Trade names
      Gross carrying amount$10,238 $10,212 
      Accumulated amortization(9,575)(9,480)
      Net total$663 $732 
   Non-compete agreements
      Gross carrying amount$9,088 $7,267 
      Accumulated amortization(6,899)(6,387)
      Net total$2,189 $880 
   Customer relationships
      Gross carrying amount$11,822 $11,822 
      Accumulated amortization(2,227)(1,792)
      Net total$9,595 $10,030 
   Total definite-lived intangible assets
      Gross carrying amount$31,148 $29,301 
      Accumulated amortization(18,701)(17,659)
      Net total$12,447 $11,642 
Total intangible assets:
   Gross carrying amount$369,229 $333,014 
   Accumulated amortization(18,701)(17,659)
   Net total$350,528 $315,355