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Goodwill and Other Intangible Assets | 3 Months Ended
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Mar. 31, 2022
Goodwill And Intangible Assets Disclosure [Abstract] |
Goodwill and Other Intangible Assets |
8. | Goodwill and Other Intangible Assets
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 | )
All of the Company’s definite-lived intangible assets are fully amortized. The Company’s licenses and accreditations, trade names and certificate of need intangible assets have indefinite lives and are, therefore, not subject to amortization. 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 The entire disclosure for goodwill and intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -URI http://asc.fasb.org/topic&trid=2144416 + Details
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