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Goodwill and Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2020
Goodwill And Intangible Assets Disclosure [Abstract] |
Summary of Goodwill and Related Adjustments | A summary of goodwill and related adjustments is provided below:
| Goodwill |
|  | Hospice |  |  | Personal Care |  |  | Home Health |  |  | Total |
| (Amounts In Thousands) |
Goodwill at December 31, 2018 |  | $ | 22,200 |  |  | $ | 112,377 |  |  | $ | 865 |  |  | $ | 135,442 |
Additions for acquisitions |  |  | 124,750 |  |  |  | 14,368 |  |  |  | 941 |  |  |  | 140,059 |
Adjustments to previously recorded goodwill |  |  | 33 |  |  |  | (168 | ) |  |  | 2 |  |  |  | (133 | )
Goodwill at December 31, 2019 |  |  | 146,983 |  |  |  | 126,577 |  |  |  | 1,808 |  |  |  | 275,368 |
Additions for acquisitions |  |  | 169,207 |  |  |  | 24,660 |  |  |  | — |  |  |  | 193,867 |
Divestiture |  |  | (1,167 | ) |  |  | — |  |  |  | — |  |  |  | (1,167 | )
Adjustments to previously recorded goodwill |  |  | (190 | ) |  |  | 1,211 |  |  |  | (17 | ) |  |  | 1,004 |
Goodwill at December 31, 2020 |  | $ | 314,833 |  |  | $ | 152,448 |  |  | $ | 1,791 |  |  | $ | 469,072 |
Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset | The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following at December 31, 2020 and 2019:
|  | Customer and referral relationships |  |  | Trade names and trademarks |  |  | Non- competition agreements |  |  | State Licenses |  |  | Total |
|  | (Amounts in Thousands) |
Intangible assets with indefinite lives |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 20,791 |  |  | $ | 20,791 |
Intangible assets subject to amortization: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Gross carrying amount |  |  | 44,672 |  |  |  | 42,926 |  |  |  | 6,225 |  |  |  | 12,507 |  |  |  | 106,330 |
Accumulated amortization |  |  | (34,439 | ) |  |  | (15,191 | ) |  |  | (2,887 | ) |  |  | (3,055 | ) |  |  | (55,572 | )
Intangible assets subject to amortization, net |  |  | 10,233 |  |  |  | 27,735 |  |  |  | 3,338 |  |  |  | 9,452 |  |  |  | 50,758 |
Net balance at December 31, 2020 |  | $ | 10,233 |  |  | $ | 27,735 |  |  | $ | 3,338 |  |  | $ | 30,243 |  |  | $ | 71,549 |
Intangible assets with indefinite lives |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 13,306 |  |  | $ | 13,306 |
Intangible assets subject to amortization: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Gross carrying amount |  |  | 48,028 |  |  |  | 31,036 |  |  |  | 4,655 |  |  |  | 12,020 |  |  |  | 95,739 |
Accumulated amortization |  |  | (35,665 | ) |  |  | (12,941 | ) |  |  | (2,234 | ) |  |  | (1,126 | ) |  |  | (51,966 | )
Intangible assets subject to amortization, net |  |  | 12,363 |  |  |  | 18,095 |  |  |  | 2,421 |  |  |  | 10,894 |  |  |  | 43,773 |
Net balance at December 31, 2019 |  | $ | 12,363 |  |  | $ | 18,095 |  |  | $ | 2,421 |  |  | $ | 24,200 |  |  | $ | 57,079 |
Schedule of Future Amortization of Intangible Assets | The estimated future intangible amortization expense is as follows:
For the year ended December 31, |  | Total (Amount in Thousands) |
2021 |  | $ | 7,711 |
2022 |  |  | 6,582 |
2023 |  |  | 6,098 |
2024 |  |  | 5,855 |
2025 |  |  | 4,232 |
Thereafter |  |  | 20,280 |
Total, intangible assets subject to amortization |  | $ | 50,758 |

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