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Income Taxes - Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | ---
Deferred tax assets [Abstract] |  |
Compensation | $ 1,464 | $ 2,817
Allowance for credit losses | 605 | 573
Lease obligations - including closed clinics | 28,525 | 26,856
Deferred tax assets | 30,594 | 30,246
Deferred tax liabilities [Abstract] |  |
Depreciation and amortization | (23,836) | (19,607)
Operating lease right-of-use assets | (26,318) | (24,637)
Gain on cash flow hedge | (1,373) | 0
Other | (370) | (387)
Deferred tax liabilities | (51,897) | (44,631)
Net deferred tax liability | $ (21,303) | $ (14,385)

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