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Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of carrying amount of goodwill
The following table shows changes in the carrying amounts of goodwill by reporting unit for the three months ended March 31, 2022:
 Critical Illness Recovery HospitalRehabilitation HospitalOutpatient
Rehabilitation
ConcentraTotal
 (in thousands)
Balance as of December 31, 2021$1,131,440 $442,155 $654,125 $1,221,192 $3,448,912 
Acquisition of businesses— — 409 2,884 3,293 
Measurement period adjustment13,251 — — — 13,251 
Balance as of March 31, 2022$1,144,691 $442,155 $654,534 $1,224,076 $3,465,456 
Schedule of carrying value and amortization of identifiable intangible assets
The following table provides the gross carrying amounts, accumulated amortization, and net carrying amounts for the Company’s identifiable intangible assets:
 December 31, 2021March 31, 2022
 Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
 (in thousands)
Indefinite-lived intangible assets:      
Trademarks$166,698 $— $166,698 $166,698 $— $166,698 
Certificates of need21,478 — 21,478 21,625 — 21,625 
Accreditations1,874 — 1,874 1,874 — 1,874 
Finite-lived intangible assets:      
Trademarks5,000 (5,000)— 5,000 (5,000)— 
Customer relationships304,289 (141,111)163,178 305,839 (148,283)157,556 
Non-compete agreements36,746 (15,095)21,651 37,087 (15,990)21,097 
Total identifiable intangible assets$536,085 $(161,206)$374,879 $538,123 $(169,273)$368,850