Goodwill and Identifiable Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of change in the carrying amount of goodwill

The change in the carrying amount of goodwill for the three months ended March 31, 2023 was as follows (in thousands):

	Gross carrying amount
Balance at December 31, 2022	$	3,545,297
Goodwill from acquisitions	64
Balance at March 31, 2023	$	3,545,361

Schedule of identifiable intangible assets

Identifiable intangible assets consisted of the following at March 31, 2023 and December 31, 2022 (dollars in thousands):

	March 31, 2023
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $28,702	$	84,098	7.3
Payor contracts, net of accumulated amortization of $22,066	59,934		7.3
Contractual rental agreements, net of accumulated amortization of $48,293	5,907		0.5
Developed technology, net of accumulated amortization of $3,465	2,835		2.3
Identifiable intangible assets, net	$	152,774

	December 31, 2022
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $25,498	$	87,302	7.5
Payor contracts, net of accumulated amortization of $20,016	61,984		7.6
Contractual rental agreements, net of accumulated amortization of $43,863	10,337		0.8
Developed technology, net of accumulated amortization of $3,150	3,150		2.5
Identifiable intangible assets, net	$	162,773

Schedule of future amortization expense related to identifiable intangible assets

Future amortization expense related to identifiable intangible assets is estimated to be as follows (in thousands):

Twelve months ending March 31,
2024	$	28,183
2025	22,262
2026	20,759
2027	18,784
2028	17,936
Thereafter	44,850
Total	$	152,774