Quarterly report pursuant to Section 13 or 15(d)

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

v3.22.2.2
Goodwill and Intangibles - Summary of Changes in Intangible Assets (Details) - USD ($)
$ in Thousands
Sep. 30, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: $ 380,555 $ 381,735
Gross carrying amount, definite-lived intangible assets 37,619 37,419
Accumulated amortization (22,865) (19,152)
Net total 14,754 18,267
Gross carrying amount, intangible assets 418,174 419,154
Net total 395,309 400,002
Trade names    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 11,273 11,073
Accumulated amortization (10,559) (9,606)
Net total 714 1,467
Non-compete agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 14,524 14,524
Accumulated amortization (9,495) (7,172)
Net total 5,029 7,352
Customer relationships    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount, definite-lived intangible assets 11,822 11,822
Accumulated amortization (2,811) (2,374)
Net total 9,011 9,448
Trade names    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: 208,160 207,780
Certificates of need/licenses    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets: $ 172,395 $ 173,955