Quarterly report pursuant to Section 13 or 15(d)

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

v3.21.2
Goodwill and Intangibles - Summary of Changes in Intangible Assets (Details) - USD ($)
$ in Thousands
Sep. 30, 2021
Dec. 31, 2020
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: $ 338,081 $ 303,713
Gross carrying amount, definite-lived intangible assets 31,148 29,301
Accumulated amortization (18,701) (17,659)
Net total 12,447 11,642
Gross carrying amount, intangible assets 369,229 333,014
Net total 350,528 315,355
Trade Names    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 10,238 10,212
Accumulated amortization (9,575) (9,480)
Net total 663 732
Non Compete Agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 9,088 7,267
Accumulated amortization (6,899) (6,387)
Net total 2,189 880
Customer Relationships    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 11,822 11,822
Accumulated amortization (2,227) (1,792)
Net total 9,595 10,030
Trade Names    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: 190,743 168,700
Certificates of Need/Licenses    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: $ 147,338 $ 135,013