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Identifiable Intangible Assets and Goodwill (Tables)
 3 Months Ended
Mar. 31, 2014
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, 2014 and December 31, 2013 were as follows (in thousands): 
 
March 31, 2014
 
December 31, 2013
 
Useful
Life
 
Home
Health
 
Hospice
 
Community Care
 
Total
 
Home
Health
 
Hospice
 
Community Care
 
Total
 
 
Amortized intangible assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Covenants not to compete
$
2,157

 
$
16,183

 
$
1,029

 
$
19,369

 
$
2,157

 
$
16,183

 
$
1,029

 
$
19,369

 
2-5 Yrs
Less: accumulated amortization
(1,602
)
 
(15,753
)
 
(155
)
 
(17,510
)
 
(1,553
)
 
(15,720
)
 
(91
)
 
(17,364
)
 
 
Net covenants not to compete
555

 
430

 
874

 
1,859

 
604

 
463

 
938

 
2,005

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Customer relationships
27,196

 
910

 
—

 
28,106

 
27,196

 
910

 
—

 
28,106

 
5-10 Yrs
Less: accumulated amortization
(20,584
)
 
(504
)
 
—

 
(21,088
)
 
(19,997
)
 
(481
)
 
—

 
(20,478
)
 
 
accumulated impairment losses
(27
)
 
—

 
—

 
(27
)
 
(27
)
 
—

 
—

 
(27
)
 
 
Net customer relationships
6,585

 
406

 
—

 
6,991

 
7,172

 
429

 
—

 
7,601

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Tradenames
19,267

 
17,528

 
11,922

 
48,717

 
19,267

 
17,528

 
11,922

 
48,717

 
5-10 Yrs
Less: accumulated amortization
(12,269
)
 
(3,969
)
 
(538
)
 
(16,776
)
 
(11,992
)
 
(3,763
)
 
(227
)
 
(15,982
)
 
 
accumulated impairment losses
(6,421
)
 
(13,122
)
 
—

 
(19,543
)
 
(6,421
)
 
(13,122
)
 
—

 
(19,543
)
 
 
Net tradenames
577

 
437

 
11,384

 
12,398

 
854

 
643

 
11,695

 
13,192

 
 
Amortized intangible assets
7,717

 
1,273

 
12,258

 
21,248

 
8,630

 
1,535

 
12,633

 
22,798

 
 
Indefinite-lived intangible assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicare licenses and certificates of need
245,545

 
113,399

 
26,011

 
384,955

 
245,545

 
113,399

 
26,011

 
384,955

 

Less: accumulated impairment
          losses
(144,672
)
 
(6,799
)
 
—

 
(151,471
)
 
(144,672
)
 
(6,799
)
 
—

 
(151,471
)
 
 
Net Medicare licenses and certificates of need
100,873

 
106,600

 
26,011

 
233,484

 
100,873

 
106,600

 
26,011

 
233,484

 
 
Total identifiable intangible assets
$
108,590

 
$
107,873

 
$
38,269

 
$
254,732

 
$
109,503

 
$
108,135

 
$
38,644

 
$
256,282

 
 
Gross carrying amount of goodwill
The gross carrying amount of goodwill as of March 31, 2014 and December 31, 2013 and activity during the first quarter of 2014 were as follows (in thousands): 
 
Goodwill, Gross
 
Accumulated Impairment Losses
 
 
 
Home Health
 
Hospice
 
Community Care
 
Total
 
Home Health
 
Hospice
 
Total
 
Net
Balance at December 31, 2013
386,824

 
944,285

 
116,645

 
1,447,754

 
(263,370
)
 
(794,303
)
 
(1,057,673
)
 
390,081

Goodwill acquired during 2014
—

 
—

 
—

 
—

 
—

 
—

 
—

 
—

Balance at March 31, 2014
$
386,824

 
$
944,285

 
$
116,645

 
$
1,447,754

 
$
(263,370
)
 
$
(794,303
)
 
$
(1,057,673
)
 
$
390,081