Goodwill and Other Intangibles, Net - Schedule of Changes in Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Indefinite-lived intangible assets:
Indefinite-lived intangible assets	$ 381,735	$ 303,713
Definite-lived intangible assets:
Gross carrying amount	37,419	29,301
Accumulated amortization	(19,152)	(17,659)
Net total	18,267	11,642
Total intangible assets, Gross carrying amount	419,154	333,014
Net total	400,002	315,355	$ 305,556
Trade names
Definite-lived intangible assets:
Gross carrying amount	11,073	10,212
Accumulated amortization	(9,606)	(9,480)
Net total	1,467	732
Non-compete agreements
Definite-lived intangible assets:
Gross carrying amount	14,524	7,267
Accumulated amortization	(7,172)	(6,387)
Net total	7,352	880
Customer relationships
Definite-lived intangible assets:
Gross carrying amount	11,822	11,822
Accumulated amortization	(2,374)	(1,792)
Net total	9,448	10,030
Trade names
Indefinite-lived intangible assets:
Indefinite-lived intangible assets	207,780	168,700
Certificates of need/licenses
Indefinite-lived intangible assets:
Indefinite-lived intangible assets	$ 173,955	$ 135,013