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Goodwill and Other Intangibles, Net
 12 Months Ended
Dec. 31, 2021
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, 2021 and 2020 (amounts in thousands):
Home Health
Hospice
Home and community-
based
Facility-based
HCI
Total
Goodwill
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 interest4,695 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 
Acquisitions84,377 404,590 254 — — 489,221 
Noncontrolling interest78 — — — — 78 
Adjustments and disposals(20)— — — — (20)
Balance as of December 31, 2021$968,435 $556,332 $167,027 $15,770 $40,862 $1,748,426 
Intangibles Assets
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 
Acquisitions13,734 73,026 46 614 — 87,420 
Amortization(480)(418)(9)(6)(581)(1,494)
Adjustments and disposals(1,279)— — — — (1,279)
Balance as of December 31, 2021$237,979 $117,340 $24,245 $5,919 $14,519 $400,002 

The Company determined that there was no impairment for the goodwill of any reporting units as of December 31, 2021, 2020, and 2019 based on the Company's annual impairment testing.

During 2021, 2020, and 2019, the Company closed underperforming locations. Due to these closures, the Company recorded $0.02 million, $0.5 million, and $0.6 million of impairment of goodwill during the years ended December 31, 2021, 2020 and 2019. 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, certificates of needs, and licenses 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, 2021; however, the Company did record $0.9 million, $0.7 million, and $7.1 million, during the years ended December 31, 2021, 2020, and 2019. During the years ended December 31, 2021 and 2020, 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. The amounts of disposal of the Medicare licenses was its carrying value at the time of closure. 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.
During the twelve months ended December 31, 2021, 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 on the Company's consolidated statements of income in general and administrative expenses.
The following tables summarize the changes in intangible assets during the twelve months ended December 31, 2021 and 2020 (amounts in thousands):
20212020
Indefinite-lived intangible assets:
  Trade names$207,780 $168,700 
  Certificates of need/licenses173,955 135,013 
  Net total$381,735 $303,713 
Definite-lived intangible assets:
  Trade names
Gross carrying amount$11,073 $10,212 
Accumulated amortization(9,606)(9,480)
Net total$1,467 $732 
Non-compete agreements
Gross carrying amount$14,524 $7,267 
Accumulated amortization(7,172)(6,387)
Net total$7,352 $880 
Customer relationships
Gross carrying amount$11,822 $11,822 
Accumulated amortization(2,374)(1,792)
Net total$9,448 $10,030 
Total definite-lived intangible assets
Gross carrying amount$37,419 $29,301 
Accumulated amortization(19,152)(17,659)
Net total$18,267 $11,642 
Total intangible assets:
Gross carrying amount$419,154 $333,014 
Accumulated amortization(19,152)(17,659)
Net total$400,002 $315,355 
Remaining useful lives of trade names, customer relationships, and non-compete agreements were 7.8, 16.3 and 4.9 years, respectively at December 31, 2021. Similar amounts at December 31, 2020 were 8.8, 17.3 and 2.9 years, respectively.
Amortization expense for the Company's intangible assets was $1.5 million, $1.2 million, and $1.3 million for the years ended December 31, 2021, 2020 and 2019, which was recorded on the Company's consolidated statements of income in general and administrative expenses.
The estimated intangible asset amortization expense for each of the five years subsequent to December 31, 2021 is as follows (amounts in thousands):
YearAmortization amount
2022$3,696 
20232,524 
20242,098 
20251,790 
20261,578 
Total$11,686