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Redeemable Non-Controlling Interests (Tables)
9 Months Ended
Sep. 30, 2021
Noncontrolling Interest [Abstract]  
Schedule of redeemable non-controlling interests
The changes in redeemable non-controlling interests were as follows:
Nine Months Ended September 30,
20202021
(in thousands)
Balance as of January 1$974,541 $398,171 
Net income attributable to redeemable non-controlling interests7,256 9,626 
Distributions to and purchases of redeemable non-controlling interests(5,687)(614)
Purchase of membership interests of Concentra Group Holdings Parent(366,203)— 
Redemption value adjustment on redeemable non-controlling interests10,123 38,405 
Other347 343 
Balance as of March 31$620,377 $445,931 
Net income attributable to redeemable non-controlling interests3,264 18,073 
Distributions to and purchases of redeemable non-controlling interests(30)(1,987)
Redemption value adjustment on redeemable non-controlling interests(127,916)59,370 
Other292 165 
Balance as of June 30$495,987 $521,552 
Net income attributable to redeemable non-controlling interests17,328 12,580 
Distributions to and purchases of redeemable non-controlling interests(4,171)(2,967)
Redemption value adjustment on redeemable non-controlling interests32,555 96,000 
Other157 165 
Balance as of September 30$541,856 $627,330