Goodwill and Identifiable Intangible Assets (Tables)

9 Months Ended

Sep. 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 nine months ended September 30, 2024 was as follows (in thousands):

	Gross carrying amount
Balance at December 31, 2023	$	2,724,958
Goodwill impairment	(13,078)
Write off from sale of assets	(4,598)
Balance at September 30, 2024	$	2,707,282

Schedule of identifiable intangible assets

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

	September 30, 2024
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $47,927	$	64,873	6.0
Payor contracts, net of accumulated amortization of $34,366	47,634		5.8
Developed technology, net of accumulated amortization of $5,355	945		0.8
Identifiable intangible assets, net	$	113,452

	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 September 30,
2025	$	21,828
2026	19,618
2027	18,190
2028	17,936
2029	17,936
Thereafter	17,944
Total	$	113,452