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Business Combinations
 12 Months Ended
Dec. 31, 2020
Business Combinations [Abstract]  
Business Combinations Business Combinations:
2020 Acquisitions
Inpatient Rehabilitation
    During 2020, we completed the following inpatient rehabilitation acquisitions, none of which were individually material to our financial position, results of operations, or cash flows. Each acquisition was made to enhance our position and ability to provide inpatient rehabilitation services to patients in the applicable geographic areas.
•In January 2020, we acquired 68% of the operations of a 13-bed inpatient rehabilitation unit in Denver, Colorado through a joint venture with Portercare Adventist Health System. The acquisition was funded through a contribution of our existing 40-bed inpatient rehabilitation hospital in Littleton, Colorado and through contributions of funds which were utilized by the consolidated joint venture to build a 20-bed expansion to the Littleton hospital.
•In May 2020, we acquired 51% of the operations of a 45-bed inpatient rehabilitation unit in Dayton, Ohio through a joint venture with Premier Health Partners. The acquisition was funded through contributions of funds which were utilized by the consolidated joint venture to build a 60-bed de novo inpatient rehabilitation hospital.
    We accounted for these transactions under the acquisition method of accounting and reported the results of operations of the acquired hospitals from its respective date of acquisition. Assets acquired were recorded at their estimated fair values as of the acquisition date. Estimated fair values were based on various valuation methodologies including an income approach using primarily discounted cash flow techniques for the noncompete intangible assets and an income approach utilizing the relief from royalty method for the trade name intangible asset. The aforementioned income methods utilize management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the assets acquired was recorded as goodwill. The goodwill reflects our expectations of our ability to gain access to and penetrate the acquired hospital’s historical patient base and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in this market. None of the goodwill recorded as a result from these transactions are deductible for federal income tax purposes.
The fair value of the assets acquired at the acquisition date were as follows (in millions):
Property and equipment$0.1 
Identifiable intangible assets: 
Noncompete agreements (useful lives of 2 to 3 years)
0.7 
Trade name (useful life of 20 years)
0.9 
Goodwill9.2 
Total assets acquired$10.9 
Information regarding the net cash paid for the inpatient rehabilitation acquisitions during 2020 is as follows (in millions):
Fair value of assets acquired
$1.7 
Goodwill9.2 
Fair value of noncontrolling interest owned by joint venture partner
(10.9)
Net cash paid for acquisitions
$— 
Home Health and Hospice
    In March 2020, we acquired the assets of Generation Solutions of Lynchburg, LLC in Lynchburg, Virginia. This acquisition was made to enhance our position and ability to provide post-acute healthcare services to patients in Central Virginia. The acquisition was funded using cash on hand and was immaterial to our financial position, results of operations, and cash flows.
    We accounted for this transaction under the acquisition method of accounting and reported the results of operations of the acquired location from the date of acquisition. Assets acquired were recorded at their estimated fair values as of the acquisition date. The fair values of identifiable intangible assets were based on valuations using an income approach. The income approach is based on management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. The goodwill reflects our expectations of our ability to utilize the acquired location’s mobile workforce and established relationships within the community and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in this market. All of the goodwill recorded as a result of this transaction is deductible for federal income tax purposes.
The fair value of the assets acquired at the acquisition date were as follows (in millions):
Identifiable intangible assets:
Licenses (useful lives of 10 years)
$0.1 
Goodwill1.0 
Total assets acquired$1.1 
    Information regarding the net cash paid for the home health and hospice acquisitions during 2020 is as follows (in millions):
Fair value of assets acquired
$0.1 
Goodwill1.0 
Net cash paid for acquisitions$1.1 
2020 Pro Forma Results of Operations
    The following table summarizes the results of operations of the above mentioned acquisitions from their respective dates of acquisition included in our consolidated results of operations and the unaudited pro forma results of operations of the combined entity had the date of the acquisitions been January 1, 2019 (in millions):
Net Operating RevenuesNet Income Attributable to Encompass Health
Acquired entities only: Actual from acquisition date to December 31, 2020
Inpatient Rehabilitation
$— $— 
Home Health and Hospice1.5 — 
Combined entity: Supplemental pro forma from 01/01/2020-12/31/2020 (unaudited)4,650.3 284.8 
Combined entity: Supplemental pro forma from 01/01/2019-12/31/2019 (unaudited)4,626.0 360.8 
    The information presented above is for illustrative purposes only and is not necessarily indicative of results that would have been achieved if the acquisitions had occurred as of the beginning of our 2019 period.
2019 Acquisitions
Inpatient Rehabilitation
    During 2019, we completed the following inpatient rehabilitation acquisitions, none of which were individually material to our financial position, results of operations, or cash flows. Each acquisition was made to enhance our position and ability to provide inpatient rehabilitation services to patients in the applicable geographic areas.
•In July 2019, we acquired approximately 51% of the operations of a 30-bed inpatient rehabilitation unit in Boise, Idaho when Saint Alphonsus Regional Medical Center contributed those operations to a joint venture with us. We funded our ownership interest in that consolidated joint venture through contributions of cash which the joint venture entity used to fund the construction of a 40-bed de novo inpatient rehabilitation hospital.
•In September 2019, we acquired 75% of the operations of Heritage Valley Sewickley Hospital’s 11-bed inpatient rehabilitation unit in Sewickley, Pennsylvania, when Heritage Valley Health System, Inc. contributed those operations to our existing joint venture entity in connection with the opening of a new hospital.
    We accounted for these transactions under the acquisition method of accounting and reported the results of operations
of the acquired hospitals from its respective date of acquisition. Assets acquired were recorded at their estimated fair values as
of the acquisition date. Estimated fair values were based on various valuation methodologies including an income approach
using primarily discounted cash flow techniques for the noncompete intangible assets and an income approach utilizing the
relief from royalty method for the trade name intangible asset. The aforementioned income methods utilize management’s
estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market
participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the assets acquired
was recorded as goodwill. The goodwill reflects our expectations of our ability to gain access to and penetrate the acquired
hospital’s historical patient base and the benefits of being able to leverage operational efficiencies with favorable growth
opportunities based on positive demographic trends in this market. None of the goodwill recorded as a result from these transactions is deductible for federal income tax purposes.
The fair value of the assets acquired and liabilities assumed at the acquisition date were as follows (in millions):
Identifiable intangible assets: 
Noncompete agreement (useful life of 2 years)
$0.1 
Trade name (useful life of 20 years)
0.4 
Goodwill4.8 
Total assets acquired5.3 
Total liabilities assumed0.2 
Net assets acquired$5.1 
Information regarding the net cash paid for the inpatient rehabilitation acquisitions during 2019 is as follows (in millions):
Fair value of assets acquired
$0.5 
Goodwill4.8 
Fair value of liabilities assumed
(0.2)
Fair value of noncontrolling interest owned by joint venture partner
(5.1)
Net cash paid for acquisitions
$— 
Home Health and Hospice
    Alacare Acquisition
In July 2019, we completed the acquisition of privately owned Alacare Home Health & Hospice (“Alacare”) for a cash purchase price of $217.8 million. The Alacare portfolio consisted of 23 home health locations and 23 hospice locations in Alabama. The acquisition was made to enhance our position and ability to provide post-acute healthcare services to patients across Alabama. We funded the transaction with cash on hand and borrowings under our revolving credit facility.
We accounted for this transaction under the acquisition method of accounting and reported the results of operations of Alacare from its date of acquisition. Assets acquired and liabilities assumed were recorded at their estimated fair values as of the acquisition date. Estimated fair values were based on various valuation methodologies including: replacement cost and continued use methods for property and equipment; an income approach using primarily discounted cash flow techniques for the noncompete and certain license intangible assets; an income approach utilizing the relief-from-royalty method for the trade name intangible asset; an income approach utilizing the excess earnings method for the certificates of need; and present value of the remaining lease payments for leases. The aforementioned income methods utilize management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. For all other assets and liabilities, the fair value was assumed to represent carrying value due to their short maturities. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. All goodwill recorded as a result from this transaction is deductible for federal income tax purposes. The goodwill reflects our expectations of favorable growth opportunities in the home health and hospice markets based on positive demographic trends.
The fair value of the assets acquired and liabilities assumed at the acquisition date were as follows (in millions):
Accounts receivable$10.2 
Prepaid expenses and other current assets1.7 
Property and equipment, net0.7 
Identifiable intangible assets: 
Noncompete agreements (useful lives of 5 years)
1.0 
Trade name (useful life of 6 months)
1.0 
Certificates of need (useful lives of 10 years)
34.3 
Licenses (useful lives of 10 years)
14.6 
Internal-use software (useful lives of 3 years)
0.1 
Goodwill163.9 
Other long-term assets5.0 
Total assets acquired232.5 
Liabilities assumed:
Current portion of long-term debt0.3 
Accounts payable1.2 
Accrued payroll8.1 
Other current liabilities2.0 
Long-term operating lease liabilities3.1 
Total liabilities assumed
14.7 
Net assets acquired$217.8 
Information regarding the net cash paid for Alacare is as follows (in millions):
Fair value of assets acquired
$68.6 
Goodwill163.9 
Fair value of liabilities assumed(14.7)
Net cash paid for acquisition$217.8 
Other Home Health and Hospice Acquisitions
During 2019, we completed the following home health acquisitions, none of which were individually material to our financial position, results of operations, or cash flows. Each acquisition was made to enhance our position and ability to provide post-acute healthcare services to patients in the applicable geographic areas. Each acquisition was funded using cash on hand.
•In February 2019, we acquired the assets of Tidewater Home Health, PA in Columbia, South Carolina.
•In March 2019, we acquired the assets and assumed the liabilities of two home health locations from Care Resource Group in East Providence, Rhode Island and Westport, Massachusetts.
    We accounted for these transactions under the acquisition method of accounting and reported the results of operations of the acquired locations from their respective dates of acquisition. Assets acquired and liabilities assumed were recorded at their estimated fair values as of the respective acquisition dates. The fair values of identifiable intangible assets were based on valuations using an income approach. The income approach is based on management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. The goodwill reflects our expectations of our ability to utilize the acquired locations’ mobile workforce and established relationships within
each community and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in these markets. All goodwill recorded as a result of these transactions is deductible for federal income tax purposes.
The fair value of the assets acquired and liabilities assumed at the acquisition date were as follows (in millions):
Operating lease right-of-use assets$0.2 
Identifiable intangible asset:
Noncompete agreements (useful lives of 5 years)
0.2 
Certificates of need (useful lives of 10 years)
2.0 
License (useful life of 10 years)
0.8 
Goodwill10.8 
Total assets acquired14.0 
Liabilities assumed:
Current operating lease liabilities0.1 
Accrued payroll0.1 
Long-term lease liabilities0.1 
Total liabilities assumed
0.3 
Net assets acquired$13.7 
Information regarding the net cash paid for the home health acquisitions during 2019 is as follows (in millions):
Fair value of assets acquired$3.2 
Goodwill10.8 
Fair value of liabilities assumed(0.3)
Net cash paid for acquisitions
$13.7 
2019 Pro Forma Results of Operations
The following table summarizes the results of operations of the above mentioned acquisitions from their respective dates of acquisition included in our consolidated results of operations and the unaudited pro forma results of operations of the combined entity had the date of the acquisitions been January 1, 2018 (in millions):
Net Operating RevenuesNet (Loss) Income Attributable to Encompass Health
Acquired entities only: Actual from acquisition date to December 31, 2019
Inpatient Rehabilitation
$4.4 $(1.3)
Alacare58.5 1.6 
All Other Home Health and Hospice
6.5 (1.5)
Combined entity: Supplemental pro forma from 01/01/2019-12/31/2019 (unaudited)4,674.6 364.3 
Combined entity: Supplemental pro forma from 01/01/2018-12/31/2018 (unaudited)4,415.9 301.8 
The information presented above is for illustrative purposes only and is not necessarily indicative of results that would have been achieved if the acquisitions had occurred as of the beginning of our 2018 reporting period.
2018 Acquisitions
Inpatient Rehabilitation
During 2018, we completed the following inpatient rehabilitation acquisitions, none of which were individually material to our financial position, results of operations, or cash flows. Each acquisition was made to enhance our position and ability to provide inpatient rehabilitation services to patients in the applicable geographic areas.
•In September 2018, we acquired approximately 62% of a 29-bed inpatient rehabilitation unit, including a 60-bed certificate of need, in Murrells Inlet, South Carolina through a joint venture with Tidelands Health. The acquisition was funded through contributions of funds to be utilized by the consolidated joint venture to build a 46-bed de novo inpatient rehabilitation satellite location.
•In October 2018, we acquired approximately 50% of a 68-bed inpatient rehabilitation unit in Winston-Salem, North Carolina through a joint venture with Novant Health Inc. This acquisition was funded through a contribution of a 68‑bed de novo inpatient rehabilitation hospital to the consolidated joint venture.
•In November 2018, we acquired approximately 68% of a 17-bed inpatient rehabilitation unit in Littleton, Colorado through a joint venture with Portercare Adventist Health System. The acquisition was funded through the contribution of our existing inpatient rehabilitation hospital in Littleton, Colorado to the consolidated joint venture.
    We accounted for these transactions under the acquisition method of accounting and reported the results of operations of the acquired hospitals from their respective dates of acquisition. Assets acquired were recorded at their estimated fair values as of the respective acquisition dates. Estimated fair values were based on various valuation methodologies including: an income approach using primarily discounted cash flow techniques for the noncompete intangible assets; an income approach utilizing the relief from royalty method for the trade name intangible asset; and an income approach utilizing the excess earnings method for the certificate of need intangible asset. The aforementioned income methods utilize management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the assets acquired was recorded as goodwill. The goodwill reflects our expectations of our ability to gain access to and penetrate the acquired hospital’s historical patient base and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in this market. None of the goodwill recorded as a result of these transactions is deductible for federal income tax purposes.
The fair value of the assets acquired and liabilities assumed at the acquisition date were as follows (in millions):
Property and equipment$0.1 
Identifiable intangible assets: 
Noncompete agreements (useful lives of 2 to 3 years)
1.4 
Trade names (useful lives of 20 years)
2.3 
Certificates of need (useful lives of 20 years)
12.5 
Goodwill23.2 
Total assets acquired39.5 
Total liabilities assumed0.2 
Net assets acquired$39.3 
Information regarding the net cash paid for all inpatient rehabilitation acquisitions during 2018 is as follows (in millions):
Fair value of assets acquired
$16.3 
Goodwill23.2 
Fair value of liabilities assumed(0.2)
Fair value of noncontrolling interest owned by joint venture partner
(39.3)
Net cash paid for acquisitions
$— 
Home Health and Hospice
Camellia Acquisition
    On May 1, 2018, we completed the previously announced acquisition of privately owned Camellia Healthcare and affiliated entities (“Camellia”). The Camellia portfolio consists of hospice, home health and private duty locations in Mississippi, Alabama, Louisiana and Tennessee. The acquisition leverages our home health and hospice operating platform across key certificate of need states and strengthens our geographic presence in the Southeastern United States. We funded the cash purchase price of the acquisition with cash on hand and borrowings under our revolving credit facility.
    We accounted for this transaction under the acquisition method of accounting and reported the results of operations of Camellia from its date of acquisition. Assets acquired and liabilities assumed were recorded at their estimated fair values as of the acquisition date. Estimated fair values were based on various valuation methodologies including: replacement cost and continued use methods for property and equipment; an income approach using primarily discounted cash flow techniques for the noncompete and certain license intangible assets; an income approach utilizing the relief-from-royalty method for the trade name intangible asset; and an income approach utilizing the excess earnings method for the certificate of need and certain license intangible assets. The aforementioned income methods utilize management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. For all other assets and liabilities, the fair value was assumed to represent carrying value due to their short maturities. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. All goodwill recorded as a result from this transaction is deductible for federal income tax purposes. The goodwill reflects our expectations of favorable growth opportunities in the home health and hospice markets based on positive demographic trends.
    The fair value of the assets acquired and liabilities assumed at the acquisition date were as follows (in millions):
Cash and cash equivalents$1.3 
Prepaid expenses and other current assets0.3 
Property and equipment, net0.6 
Identifiable intangible assets: 
Noncompete agreements (useful lives of 5 years)
0.5 
Trade name (useful life of 1 year)
1.4 
Certificates of need (useful lives of 10 years)
16.6 
Licenses (useful lives of 10 years)
21.6 
Goodwill96.1 
Total assets acquired138.4 
Liabilities assumed:
Accounts payable1.7 
Accrued payroll4.0 
Total liabilities assumed
5.7 
Net assets acquired$132.7 
Information regarding the net cash paid for Camellia is as follows (in millions):
Fair value of assets acquired, net of $1.3 million of cash acquired
$41.0 
Goodwill96.1 
Fair value of liabilities assumed(5.7)
Net cash paid for acquisition$131.4 
Other Home Health and Hospice Acquisitions
During 2018, we completed the following home health acquisitions, none of which were individually material to our financial position, results of operations, or cash flows. Each acquisition was made to enhance our position and ability to provide post-acute healthcare services to patients in the applicable geographic areas. Each acquisition was funded using cash on hand.
•In January 2018, we acquired the assets of one hospice location from Golden Age Hospice, Inc. in Oklahoma City, Oklahoma.
•In June 2018, we acquired the assets of one hospice location from Medical Services of America in Las Vegas, Nevada.
•In November 2018, we acquired the assets of one home health and one hospice location from Tenet Hospital Limited in Birmingham, Alabama and El Paso, Texas. We also acquired 75% of the assets of a home health location in Talladega, Alabama through a joint venture with Tenet Hospital Limited.
•In December 2018, we acquired 75% of the assets of a hospice location in Talladega, Alabama through a joint venture with Tenet Hospital Limited.
    We accounted for these transactions under the acquisition method of accounting and reported the results of operations of the acquired locations from their respective dates of acquisition. Assets acquired were recorded at their estimated fair values as of the respective acquisition dates. The fair values of identifiable intangible assets were based on valuations using an income approach. The income approach is based on management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. The goodwill reflects our
expectations of our ability to utilize the acquired locations’ mobile workforce and established relationships within each community and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in these markets. All of the goodwill recorded as a result of these transactions is deductible for federal income tax purposes.
The fair value of the assets acquired and liabilities assumed at the acquisition date were as follows (in millions):
Total current assets$0.1 
Identifiable intangible asset: 
Noncompete agreements (useful lives of 5 years)
0.2 
Certificates of need (useful lives of 10 years)
2.5 
Licenses (useful lives of 10 years)
1.5 
Goodwill8.9 
Total assets acquired13.2 
Total liabilities assumed0.1 
Net assets acquired$13.1 
Information regarding the net cash paid for home health and hospice acquisitions during 2018 is as follows (in millions):
Fair value of assets acquired
$4.3 
Goodwill8.9 
Fair value of liabilities assumed(0.1)
Fair value of noncontrolling interest owned by joint venture partner
(0.6)
Net cash paid for acquisitions
$12.5 
2018 Pro Forma Results of Operations
The following table summarizes the results of operations of the above mentioned acquisitions from their respective dates of acquisition included in our consolidated results of operations and the unaudited pro forma results of operations of the combined entity had the date of the acquisitions been January 1, 2017 (in millions):
Net Operating RevenuesNet (Loss) Income Attributable to Encompass Health
Acquired entities only: Actual from acquisition date to December 31, 2018
Inpatient Rehabilitation$9.1 $(1.6)
Camellia50.0 (0.9)
All Other Home Health and Hospice3.5 (0.3)
Combined entity: Supplemental pro forma from 01/01/2018-12/31/2018 (unaudited)4,337.4 300.0 
Combined entity: Supplemental pro forma from 01/01/2017-12/31/2017 (unaudited)4,039.9 289.0 
    The information presented above is for illustrative purposes only and is not necessarily indicative of results that would have been achieved if the acquisitions had occurred as of the beginning of our 2017 reporting period.