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Goodwill and Other Intangibles, Net
 12 Months Ended
Dec. 31, 2022
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, 2022 and 2021 (amounts in thousands):
Home Health
Hospice
Home and community-
based
Facility-based
HCI
Total
Goodwill
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 
Acquisitions19,917 — — — — 19,917 
Noncontrolling interest1,266 — — — — 1,266 
Adjustments and disposals(2,491)(20)(1,320)— — (3,831)
Balance as of December 31, 2022$987,127 $556,312 $165,707 $15,770 $40,862 $1,765,778 
Intangibles Assets
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 
Acquisitions5,483 — — — — 5,483 
Amortization(1,937)(1,679)(9)(368)(581)(4,574)
Adjustments and disposals(3,805)(1,267)(511)— — (5,583)
Balance as of December 31, 2022$237,720 $114,394 $23,725 $5,551 $13,938 $395,328 

The Company determined that there was no impairment for the goodwill of any reporting unit as of December 31, 2022, 2021, and 2020 based on the Company's annual impairment testing.

During 2022, 2021, and 2020, the Company closed underperforming locations. Due to these closures, the Company recorded $5.3 million, $0.02 million, and $0.5 million of impairment of goodwill during the years ended December 31, 2022, 2021, and 2020. 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, 2022; however, the Company did record $5.6 million, $0.9 million, and $0.7 million, during the years ended December 31, 2022, 2021, and 2020. These impairments related to closures of underperforming locations. The amounts of disposal of the indefinite-lived intangible assets were the carrying values 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, 2022 and 2021 (amounts in thousands):
20222021
Indefinite-lived intangible assets:
  Trade names$210,373 $207,780 
  Certificates of need/licenses170,808 173,955 
  Net total$381,181 $381,735 
Definite-lived intangible assets:
  Trade names
Gross carrying amount$11,273 $11,073 
Accumulated amortization(10,615)(9,606)
Net total$658 $1,467 
Non-compete agreements
Gross carrying amount$14,778 $14,524 
Accumulated amortization(10,155)(7,172)
Net total$4,623 $7,352 
Customer relationships
Gross carrying amount$11,822 $11,822 
Accumulated amortization(2,956)(2,374)
Net total$8,866 $9,448 
Total definite-lived intangible assets
Gross carrying amount$37,873 $37,419 
Accumulated amortization(23,726)(19,152)
Net total$14,147 $18,267 
Total intangible assets:
Gross carrying amount$419,054 $419,154 
Accumulated amortization(23,726)(19,152)
Net total$395,328 $400,002 
Remaining useful lives of trade names, customer relationships, and non-compete agreements were 6.7, 15.3 and 3.8 years, respectively at December 31, 2022. Similar amounts at December 31, 2021 were 7.8, 16.3 and 4.9 years, respectively.
Amortization expense for the Company's intangible assets was $4.6 million, $1.5 million, and $1.2 million for the years ended December 31, 2022, 2021 and 2020, 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, 2022 is as follows (amounts in thousands):
YearAmortization amount
2023$2,708 
20242,224 
20251,860 
20261,579 
2027656 
Total$9,027