Goodwill and Other Intangible Assets - Goodwill (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Goodwill allocated
Goodwill, Net as of beginning of the year	$ 277,223
Goodwill, Net as of end of the year	363,554	$ 277,223
Measurement period adjustments related to acquisitions	200	(200)
Patient Care
Goodwill allocated
Goodwill, Gross as of beginning of the year	705,891	660,912
Goodwill, Accumulated Impairment	(428,668)	(428,668)	$ (428,668)
Goodwill, Net as of beginning of the year	277,223	232,244
Additions from acquisitions	86,124	45,144
Measurement period adjustments	207	(165)
Goodwill, Gross as of end of the year	792,222	705,891
Goodwill, Net as of end of the year	$ 363,554	$ 277,223