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Income Taxes - Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets (Details) - USD ($) $ in Thousands | Dec. 31, 2021 | Dec. 31, 2020
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Deferred tax assets [Abstract] |  |
Compensation | $ 2,817 | $ 1,865
Allowance for credit losses | 573 | 396
Acquired net operating losses | 0 | 558
Lease obligations - including closed clinics | 26,856 | 23,819
Deferred tax assets | 30,246 | 26,638
Deferred tax liabilities [Abstract] |  |
Depreciation and amortization | (19,607) | (12,650)
Operating lease right-of-use assets | (24,637) | (21,419)
Other | (387) | (348)
Deferred tax liabilities | (44,631) | (34,417)
Net deferred tax liability | $ (14,385) | $ (7,779)

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