Identifiable Intangible Assets and Goodwill (Tables)

3 Months Ended

Mar. 31, 2013

Goodwill and Intangible Assets Disclosure [Abstract]

Gross carrying amount and accumulated amortization of identifiable intangible assets

The gross carrying amount and accumulated amortization of each category of identifiable intangible assets as of March 31, 2013 and December 31, 2012 were as follows (in thousands):

	March 31, 2013									December 31, 2012									Useful Life
	Home Health			Hospice			Total			Home Health			Hospice			Total
Amortized intangible assets:
Covenants not to compete	$	1,667		$	15,685		$	17,352		$	1,667		$	15,685		$	17,352		2-5 Yrs
Less: accumulated amortization	(1,465		)	(14,739		)	(16,204		)	(1,449		)	(14,113		)	(15,562		)
Net covenants not to compete	202			946			1,148			218			1,572			1,790
Customer relationships	27,196			910			28,106			27,196			910			28,106			5-10 Yrs
Less: accumulated amortization	(18,238		)	(413		)	(18,651		)	(17,651		)	(390		)	(18,041		)
accumulated impairment losses	(26		)	—			(26		)	(27		)	—			(27		)
Net customer relationships	8,932			497			9,429			9,518			520			10,038
Amortized intangible assets	9,134			1,443			10,577			9,736			2,092			11,828
Indefinite-lived intangible assets:
Medicare licenses and certificates of need	225,227			101,749			326,976			225,227			101,749			326,976			Indefinite
Less: accumulated impairment losses	(144,672		)	(519		)	(145,191		)	(144,672		)	(519		)	(145,191		)
Net Medicare licenses and certificates of need	80,555			101,230			181,785			80,555			101,230			181,785
Total identifiable intangible assets	$	89,689		$	102,673		$	192,362		$	90,291		$	103,322		$	193,613

Gross carrying amount of goodwill

The gross carrying amount of goodwill as of March 31, 2013 and December 31, 2012 and activity during 2012 and the first quarter of 2013 were as follows (in thousands):

	Goodwill, Gross						Accumulated Impairment Losses
	Home Health		Hospice		Total		Home Health		Hospice		Total
Balance at December 31, 2011	$	267,058	$	831,648	$	1,098,706	(263,370	)	(193,667	)	(457,037	)
Goodwill acquired during 2012	5,331		9,364		14,695		—		—		—
Balance at December 31, 2012	$	272,389	$	841,012	$	1,113,401	(263,370	)	(193,667	)	(457,037	)
Impairment losses during 2013	—		—		—		—		(220,800	)	(220,800	)
Balance at March 31, 2013	272,389		841,012		1,113,401		(263,370	)	(414,467	)	(677,837	)