Goodwill and Identifiable Intangible Assets (Tables)

9 Months Ended

Sep. 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		11,788
Net cash receipts relating to prior acquisitions		(188)
Net increase relating to measurement period adjustments		832
Balance at September 30, 2022	$	3,524,999

Schedule of identifiable intangible assets

	September 30, 2022
			Weighted-Average
			Remaining Life (Years)
Tradenames, net of accumulated amortization of $22,294	$	90,506	7.7
Payor contracts, net of accumulated amortization of $17,966		64,034	7.8
Contractual rental agreements, net of accumulated amortization of $39,433		14,767	1.0
Developed technology, net of accumulated amortization of $2,835		3,465	2.8
Identifiable intangible assets, net	$	172,772

	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 September 30,
2023	$	37,043
2024		22,276
2025		21,828
2026		19,618
2027		18,190
Thereafter		53,817
Total	$	172,772