Goodwill and Identifiable Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2022

Goodwill.

Schedule of change in the carrying amount of goodwill

	Gross carrying
	amount
Balance at December 31, 2021	$	3,512,567
Goodwill from acquisitions		4,591
Net cash receipts relating to prior acquisitions		(898)
Net reduction		(648)
Balance at June 30, 2022	$	3,515,612

Schedule of identifiable intangible assets

	June 30, 2022
			Weighted-Average
			Remaining Life (Years)
Tradenames, net of accumulated amortization of $19,090	$	93,710	8.0
Payor contracts, net of accumulated amortization of $15,916		66,084	8.1
Contractual rental agreements, net of accumulated amortization of $35,003		19,197	1.3
Developed technology, net of accumulated amortization of $2,520		3,780	3.0
Identifiable intangible assets, net	$	182,771

	December 31, 2021
			Weighted-Average
			Remaining Life (Years)
Tradenames, net of accumulated amortization of $12,705	$	99,595	8.4
Payor contracts, net of accumulated amortization of $11,816		70,184	8.6
Contractual rental agreements, net of accumulated amortization of $26,158		28,042	1.8
Developed technology, net of accumulated amortization of $1,890		4,410	3.5
Identifiable intangible assets, net	$	202,231

Schedule of future amortization expense related to identifiable intangible assets

Twelve months ending June 30,
2023	$	39,996
2024		23,753
2025		22,217
2026		20,120
2027		13,899
Thereafter		62,786
Total	$	182,771