A summary of the goodwill activity for the nine months ended September 30, 2019 is provided below:

	Goodwill
	Personal Care			Hospice		Home Health		Total
	(Amounts in Thousands)
Goodwill as of December 31, 2018	$	112,377		$	22,200	$	865	$	135,442
Additions for acquisitions		12,701			13,028		861		26,590
Adjustments to previously recorded goodwill		(51	)		33		2		(16	)
Goodwill as of September 30, 2019	$	125,027		$	35,261	$	1,728	$	162,016

The Company’s identifiable intangible assets consist of customer and referral relationships, trade names, trademarks and non-competition agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from three to twenty-five years. Goodwill and certain state licenses are not amortized pursuant to ASC Topic 350. The Company recognized goodwill in the personal care segment of $10.4 million related to the acquisition of VIP during the nine months ended September 30, 2019. In connection with the acquisition of Alliance on August 1, 2019, the Company recognized goodwill in the personal care, hospice and home health segments of $2.1 million, $13.0 million and $0.9 million, respectively.

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of September 30, 2019:

	Customer and referral relationships			Trade names and trademarks			Non- competition agreements			State Licenses			Total
	(Amounts in Thousands)
Intangible assets with indefinite lives:	$	—		$	—		$	—		$	7,186		$	7,186
Intangible assets subject to amortization:
Gross carrying amount		48,028			21,566			2,155			12,020			83,769
Accumulated amortization		(34,898	)		(12,246	)		(2,063	)		(629	)		(49,836	)
Intangible assets subject to amortization, net		13,130			9,320			92			11,391			33,933
Total intangible assets at September 30, 2019	$	13,130		$	9,320		$	92		$	18,577		$	41,119

During the nine months ended September 30, 2019, the Company acquired state licenses and customer relationships of $10.7 million and $4.7 million, respectively, related to the acquisition of VIP and state licenses of $5.4 million related to the acquisition of Alliance. Amortization expense related to the identifiable intangible assets amounted to $1.8 million and $4.4 million for the three and nine months ended September 30, 2019, respectively, and $1.9 million and $4.9 million for the three and nine months ended September 30, 2018, respectively. The weighted average remaining lives of identifiable intangible assets as of September 30, 2019 is 7.8 years.