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Goodwill and Other Intangible Assets (Tables) | 3 Months Ended
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Mar. 31, 2022
Goodwill And Intangible Assets Disclosure [Abstract] |
Other Identifiable Intangible Assets and Related Accumulated Amortization | Other identifiable intangible assets and related accumulated amortization consisted of the following at March 31, 2022 and December 31, 2021 (in thousands):
|  | Gross Carrying Amount |  |  | Accumulated Amortization |
|  | March 31, 2022 |  |  | December 31, 2021 |  |  | March 31, 2022 |  |  | December 31, 2021 |
Intangible assets subject to amortization: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Non-compete agreements |  | $ | 1,131 |  |  | $ | 1,131 |  |  | $ | (1,131 | ) |  | $ | (1,131 | )
Intangible assets not subject to amortization: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Licenses and accreditations |  |  | 11,600 |  |  |  | 11,600 |  |  |  | — |  |  |  | — |
Trade names |  |  | 40,435 |  |  |  | 40,435 |  |  |  | — |  |  |  | — |
Certificates of need |  |  | 18,284 |  |  |  | 18,110 |  |  |  | — |  |  |  | — |
|  |  | 70,319 |  |  |  | 70,145 |  |  |  | — |  |  |  | — |
Total |  | $ | 71,450 |  |  | $ | 71,276 |  |  | $ | (1,131 | ) |  | $ | (1,131 | )
Summary of Changes in Goodwill | The following table summarizes changes in goodwill for 2022 (in thousands):
Balance at December 31, 2021 | $ | 2,199,937 |
Adjustments related to 2021 acquisition |  | 722 |
Balance at March 31, 2022 | $ | 2,200,659 |

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- Definition Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13854-109267 + Details
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