Quarterly report pursuant to Section 13 or 15(d)

Goodwill and Intangibles - Summary of Changes in Intangible Assets (Details)

v3.20.2
Goodwill and Intangibles - Summary of Changes in Intangible Assets (Details) - USD ($)
$ in Thousands
Sep. 30, 2020
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: $ 299,411 $ 293,188
Gross carrying amount, definite-lived intangible assets 28,928 28,799
Accumulated amortization (17,372) (16,431)
Net total 11,556 12,368
Gross carrying amount, intangible assets 328,339 321,987
Net total 310,967 305,556
Trade Names    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 10,209 10,182
Accumulated amortization (9,437) (9,229)
Net total 772 953
Non-compete agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 6,897 6,795
Accumulated amortization (6,288) (5,991)
Net total 609 804
Customer relationships    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 11,822 11,822
Accumulated amortization (1,647) (1,211)
Net total 10,175 10,611
Trade Names    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: 165,920 163,499
Certificates of Need/Licenses    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: $ 133,491 $ 129,689