Goodwill and Intangibles (Tables)

6 Months Ended

Jun. 30, 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 six months ended June 30, 2022 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, 2021	$	968,435	$	556,332	$	167,027	$	15,770	$	40,862	$	1,748,426
Net working capital adjustments	—		1,440		—		—		—		1,440
Acquisitions	2,190		—		—		—		—		2,190
Noncontrolling interests	504		—		—		—		—		504
Disposals	(440)		(690)		—		—		—		(1,130)
Balance as of June 30, 2022	$	970,689	$	557,082	$	167,027	$	15,770	$	40,862	$	1,751,430
Intangible assets:
Balance as of December 31, 2021	$	237,979	$	117,340	$	24,245	$	5,919	$	14,519	$	400,002
Acquisitions	810		—		—		—		—		810
Amortization	(1,193)		(985)		(6)		(275)		(291)		(2,750)
Disposals	(490)		(397)		(54)		—		—		(941)
Balance as of June 30, 2022	$	237,106	$	115,958	$	24,185	$	5,644	$	14,228	$	397,121

Schedule of Changes in Intangible Assets, Indefinite

The following tables summarize the changes in intangible assets during the six months ended June 30, 2022 and December 31, 2021 (amounts in thousands): 

	2022		2021
Indefinite-lived intangible assets:
Trade names	$	208,233	$	207,780
Certificates of need/licenses	173,371		173,955
Net total	$	381,604	$	381,735
Definite-lived intangible assets:
Trade names
Gross carrying amount	$	11,073	$	11,073
Accumulated amortization	(10,410)		(9,606)
Net total	$	663	$	1,467
Non-compete agreements
Gross carrying amount	$	14,524	$	14,524
Accumulated amortization	(8,828)		(7,172)
Net total	$	5,696	$	7,352
Customer relationships
Gross carrying amount	$	11,822	$	11,822
Accumulated amortization	(2,664)		(2,374)
Net total	$	9,158	$	9,448
Total definite-lived intangible assets
Gross carrying amount	$	37,419	$	37,419
Accumulated amortization	(21,902)		(19,152)
Net total	$	15,517	$	18,267
Total intangible assets:
Gross carrying amount	$	419,023	$	419,154
Accumulated amortization	(21,902)		(19,152)
Net total	$	397,121	$	400,002

Schedule of Changes in Intangible Assets, Finite

The following tables summarize the changes in intangible assets during the six months ended June 30, 2022 and December 31, 2021 (amounts in thousands): 

	2022		2021
Indefinite-lived intangible assets:
Trade names	$	208,233	$	207,780
Certificates of need/licenses	173,371		173,955
Net total	$	381,604	$	381,735
Definite-lived intangible assets:
Trade names
Gross carrying amount	$	11,073	$	11,073
Accumulated amortization	(10,410)		(9,606)
Net total	$	663	$	1,467
Non-compete agreements
Gross carrying amount	$	14,524	$	14,524
Accumulated amortization	(8,828)		(7,172)
Net total	$	5,696	$	7,352
Customer relationships
Gross carrying amount	$	11,822	$	11,822
Accumulated amortization	(2,664)		(2,374)
Net total	$	9,158	$	9,448
Total definite-lived intangible assets
Gross carrying amount	$	37,419	$	37,419
Accumulated amortization	(21,902)		(19,152)
Net total	$	15,517	$	18,267
Total intangible assets:
Gross carrying amount	$	419,023	$	419,154
Accumulated amortization	(21,902)		(19,152)
Net total	$	397,121	$	400,002