Goodwill and Identifiable Intangible Assets (Tables)

9 Months Ended

Sep. 30, 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 nine months ended September 30, 2023 was as follows (in thousands):

	Gross carrying amount
Balance at December 31, 2022	$	3,545,297
Goodwill from acquisitions	7,297
Net increase relating to measurement period adjustments	718
Impairment charge	(511,866)
Balance at September 30, 2023	$	3,041,446

Schedule of identifiable intangible assets

Identifiable intangible assets consisted of the following at September 30, 2023 and December 31, 2022 (dollars in thousands):

	September 30, 2023
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $35,111	$	77,689	6.8
Payor contracts, net of accumulated amortization of $26,166	55,834		6.8
Developed technology, net of accumulated amortization of $4,095	2,205		1.8
Identifiable intangible assets, net	$	135,728

	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 September 30,
2024	$	22,276
2025	21,828
2026	19,617
2027	18,190
2028	17,936
Thereafter	35,881
Total	$	135,728