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Goodwill and Intangibles (Tables)
 3 Months Ended
Mar. 31, 2022
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 three months ended March 31, 2022 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, 2021$968,435 $556,332 $167,027 $15,770 $40,862 $1,748,426 
Net working capital adjustments— (102)— — — (102)
Disposals(130)(690)— — — (820)
Balance as of March 31, 2022$968,305 $555,540 $167,027 $15,770 $40,862 $1,747,504 
Intangible assets:
Balance as of December 31, 2021$237,979 $117,340 $24,245 $5,919 $14,519 $400,002 
Amortization(727)(573)(3)(172)(145)(1,620)
Disposals(319)(36)(54)— — (409)
Balance as of March 31, 2022$236,933 $116,731 $24,188 $5,747 $14,374 $397,973 
Schedule of Changes in Intangible Assets, Indefinite The following tables summarize the changes in intangible assets during the three months ended March 31, 2022 and December 31, 2021 (amounts in thousands): 
20222021
Indefinite-lived intangible assets:
   Trade names$207,780 $207,780 
   Certificates of need/licenses173,546 173,955 
   Net total$381,326 $381,735 
Definite-lived intangible assets:
   Trade names
      Gross carrying amount$11,073 $11,073 
      Accumulated amortization(10,098)(9,606)
      Net total$975 $1,467 
   Non-compete agreements
      Gross carrying amount$14,524 $14,524 
      Accumulated amortization(8,154)(7,172)
      Net total$6,370 $7,352 
   Customer relationships
      Gross carrying amount$11,822 $11,822 
      Accumulated amortization(2,520)(2,374)
      Net total$9,302 $9,448 
   Total definite-lived intangible assets
      Gross carrying amount$37,419 $37,419 
      Accumulated amortization(20,772)(19,152)
      Net total$16,647 $18,267 
Total intangible assets:
   Gross carrying amount$418,745 $419,154 
   Accumulated amortization(20,772)(19,152)
   Net total$397,973 $400,002 
Schedule of Changes in Intangible Assets, Finite The following tables summarize the changes in intangible assets during the three months ended March 31, 2022 and December 31, 2021 (amounts in thousands): 
20222021
Indefinite-lived intangible assets:
   Trade names$207,780 $207,780 
   Certificates of need/licenses173,546 173,955 
   Net total$381,326 $381,735 
Definite-lived intangible assets:
   Trade names
      Gross carrying amount$11,073 $11,073 
      Accumulated amortization(10,098)(9,606)
      Net total$975 $1,467 
   Non-compete agreements
      Gross carrying amount$14,524 $14,524 
      Accumulated amortization(8,154)(7,172)
      Net total$6,370 $7,352 
   Customer relationships
      Gross carrying amount$11,822 $11,822 
      Accumulated amortization(2,520)(2,374)
      Net total$9,302 $9,448 
   Total definite-lived intangible assets
      Gross carrying amount$37,419 $37,419 
      Accumulated amortization(20,772)(19,152)
      Net total$16,647 $18,267 
Total intangible assets:
   Gross carrying amount$418,745 $419,154 
   Accumulated amortization(20,772)(19,152)
   Net total$397,973 $400,002