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Goodwill and Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract] |
Summary of Goodwill by Segment and Related Adjustments | A summary of goodwill by segment and related adjustments is provided below:
|  | Goodwill |
|  | Hospice |  |  | Personal Care |  |  | Home Health |  |  | Total |
|  | (Amounts In Thousands) |
Goodwill at December 31, 2020 |  | $ | 314,833 |  |  | $ | 152,448 |  |  | $ | 1,791 |  |  | $ | 469,072 |
Additions for acquisitions |  |  | 13,370 |  |  |  | 115 |  |  |  | 21,579 |  |  |  | 35,064 |
Adjustments to previously recorded goodwill |  |  | 131 |  |  |  | 125 |  |  |  | — |  |  |  | 256 |
Goodwill at December 31, 2021 |  |  | 328,334 |  |  |  | 152,688 |  |  |  | 23,370 |  |  |  | 504,392 |
Additions for acquisitions |  |  | 69,446 |  |  |  | — |  |  |  | 8,910 |  |  |  | 78,356 |
Adjustments to previously recorded goodwill |  |  | (52 | ) |  |  | — |  |  |  | 141 |  |  |  | 89 |
Goodwill at December 31, 2022 |  | $ | 397,728 |  |  | $ | 152,688 |  |  | $ | 32,421 |  |  | $ | 582,837 |
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, 2022 and 2021:
|  | Customer and referral relationships |  |  | Trade names and trademarks |  |  | Non- competition agreements |  |  | State Licenses |  |  | Total |
|  | (Amounts in Thousands) |
Intangible assets with indefinite lives |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 27,108 |  |  | $ | 27,108 |
Intangible assets subject to amortization: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Gross carrying amount |  |  | 44,672 |  |  |  | 52,046 |  |  |  | 6,785 |  |  |  | 12,517 |  |  |  | 116,020 |
Accumulated amortization |  |  | (38,088 | ) |  |  | (21,058 | ) |  |  | (4,785 | ) |  |  | (7,009 | ) |  |  | (70,940 | )
Intangible assets subject to amortization, net |  |  | 6,584 |  |  |  | 30,988 |  |  |  | 2,000 |  |  |  | 5,508 |  |  |  | 45,080 |
Net balance at December 31, 2022 |  | $ | 6,584 |  |  | $ | 30,988 |  |  | $ | 2,000 |  |  | $ | 32,616 |  |  | $ | 72,188 |
Intangible assets with indefinite lives |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 21,124 |  |  | $ | 21,124 |
Intangible assets subject to amortization: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Gross carrying amount |  |  | 44,672 |  |  |  | 42,926 |  |  |  | 6,785 |  |  |  | 12,508 |  |  |  | 106,891 |
Accumulated amortization |  |  | (36,342 | ) |  |  | (18,494 | ) |  |  | (3,831 | ) |  |  | (5,027 | ) |  |  | (63,694 | )
Intangible assets subject to amortization, net |  |  | 8,330 |  |  |  | 24,432 |  |  |  | 2,954 |  |  |  | 7,481 |  |  |  | 43,197 |
Net balance at December 31, 2021 |  | $ | 8,330 |  |  | $ | 24,432 |  |  | $ | 2,954 |  |  | $ | 28,605 |  |  | $ | 64,321 |
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) |
2023 |  | $ | 6,857 |
2024 |  |  | 6,534 |
2025 |  |  | 4,911 |
2026 |  |  | 4,287 |
2027 |  |  | 3,665 |
Thereafter |  |  | 18,826 |
Total, intangible assets subject to amortization |  | $ | 45,080 |

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