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Note 5 - Goodwill and Intangible Assets | 6 Months Ended
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Jun. 30, 2025
Notes to Financial Statements |
Goodwill and Intangible Assets Disclosure [Text Block] | 5. Goodwill and Intangible Assets A summary of the goodwill by segment and related adjustments is provided below:
|  |  |  |  |  |  |  |  |  | Home |  |  |  |  |
|  | Hospice |  |  | Personal Care |  |  | Health |  |  | Total |
|  | (Amounts in Thousands) |
Goodwill as of December 31, 2024 |  | $ | 432,840 |  |  | $ | 442,526 |  |  | $ | 95,192 |  |  | $ | 970,558 |
Additions for acquisitions |  |  | — |  |  |  | 3,350 |  |  |  | — |  |  |  | 3,350 |
Adjustments to previously recorded goodwill |  |  | 26 |  |  |  | (3,768 | ) |  |  | (342 | ) |  |  | (4,084 | )
Goodwill as of June 30, 2025 |  | $ | 432,866 |  |  | $ | 442,108 |  |  | $ | 94,850 |  |  | $ | 969,824 |
On January 1, 2025, the Company completed its acquisition of its Jacksonville affiliate for approximately $0.8 million (the “Jacksonville Acquisition”), with funding provided by available cash. With the Jacksonville Acquisition, the Company expanded its personal care segment in Florida and recorded goodwill of $0.8 million. On March 1, 2025, the Company completed its acquisition of the assets of Great Lakes Home Care Unlimited, LLC for $2.6 million (the “Great Lakes Acquisition”), with funding provided by available cash. With the Great Lakes Acquisition, the Company expanded its personal care segment in Michigan and recognized goodwill in its personal care segment of $2.6 million. During the three and six months ended June 30, 2025, the Company recorded $2.5 million and $4.1 million, respectively, related to measurement period adjustments to previously recorded goodwill including $2.9 million of proceeds received in connection with the Gentiva Acquisition. The Company’s identifiable intangible assets consist of customer and referral relationships, trade names and trademarks, non-competition agreements, and state licenses. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from one to twenty years. Customer and referral relationships are amortized systematically over the periods of expected economic benefit, which range from three to fifteen years. The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following:
|  |  |  |  | June 30, 2025 |  |  | December 31, 2024 |
|  |  |  |  | (Amounts in Thousands) |  |  | (Amounts in Thousands) |
|  | Estimated Useful |  |  | Gross |  |  | Accumulated |  |  | Net |  |  | Gross |  |  | Accumulated |  |  | Net |
|  | Life (years) |  |  | carrying value |  |  | amortization |  |  | carrying value |  |  | carrying value |  |  | amortization |  |  | carrying value |
Customer and referral relationships |  | 3 - 15 |  |  | $ | 34,201 |  |  | $ | (33,461 | ) |  | $ | 740 |  |  | $ | 34,201 |  |  | $ | (33,255 | ) |  | $ | 946 |
Trade names and trademarks |  | 1 - 20 |  |  |  | 59,366 |  |  |  | (24,217 | ) |  |  | 35,149 |  |  |  | 59,366 |  |  |  | (21,900 | ) |  |  | 37,466 |
Non-competition agreement |  | 3 - 5 |  |  |  | 6,728 |  |  |  | (6,476 | ) |  |  | 252 |  |  |  | 6,728 |  |  |  | (6,263 | ) |  |  | 465 |
State Licenses |  | 6 - 10 |  |  |  | 24,981 |  |  |  | (2,494 | ) |  |  | 22,487 |  |  |  | 24,981 |  |  |  | (1,243 | ) |  |  | 23,738 |
State Licenses |  | Indefinite |  |  |  | 47,028 |  |  |  | — |  |  |  | 47,028 |  |  |  | 47,028 |  |  |  | — |  |  |  | 47,028 |
Total intangible assets |  |  |  |  | $ | 172,304 |  |  | $ | (66,648 | ) |  | $ | 105,656 |  |  | $ | 172,304 |  |  | $ | (62,661 | ) |  | $ | 109,643 |
Amortization expense related to the intangible assets was $2.0 million and $4.0 million for the three and six months ended June 30, 2025, respectively, and $1.8 million and $3.6 million for the three and six months ended June 30, 2024, respectively. The weighted average remaining useful lives of identifiable intangible assets as of June 30, 2025 was 9.45 years.

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