Goodwill and Identifiable Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2024

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 six months ended June 30, 2024 was as follows (in thousands):

	Gross carrying amount
Balance at December 31, 2023	$	2,724,958
Goodwill impairment	(13,078)
Balance at June 30, 2024	$	2,711,880

Schedule of identifiable intangible assets

Identifiable intangible assets consisted of the following at June 30, 2024 and December 31, 2023 (in thousands):

	June 30, 2024
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $44,723	$	68,077	6.2
Payor contracts, net of accumulated amortization of $32,316	49,684		6.1
Developed technology, net of accumulated amortization of $5,040	1,260		1.0
Identifiable intangible assets, net	$	119,021

	December 31, 2023
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $38,314	$	74,486	6.6
Payor contracts, net of accumulated amortization of $28,216	53,784		6.6
Developed technology, net of accumulated amortization of $4,410	1,890		1.5
Identifiable intangible assets, net	$	130,160

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 June 30,
2025	$	22,217
2026	20,119
2027	18,384
2028	17,936
2029	17,936
Thereafter	22,429
Total	$	119,021