Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Finite-Lived Intangible Assets

Following is a summary of the range of estimated useful life of other intangible assets:

Asset Classification	Range of Estimated Useful Life
Client relationships	10 to 16 years
Provider Network	15 years
Technology	4 to 5 years
Trade Names	1 year to indefinite

As of each balance sheet date, other intangible assets consisted of the following:

		As of December 31,
		2021						2020
(in thousands)	Weighted-average amortization period	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Client relationships	15 years	$	4,178,280	$	(1,531,679)	$	2,646,601	$	4,138,460	$	(1,252,892)	$	2,885,568
Provider network	15 years	896,800		(332,812)		563,988		896,800		(273,026)		623,774
Technology	5 years	6,350		(1,482)		4,868		6,350		(211)		6,139
Trade names	9 years	2,670		(390)		2,280		1,430		(24)		1,406
Trade names	Indefinite	67,300		—		67,300		67,300		—		67,300
Total		$	5,151,400	$	(1,866,363)	$	3,285,037	$	5,110,340	$	(1,526,153)	$	3,584,187

Schedule of Goodwill

Goodwill for the years ended December 31, 2021 and 2020 are as follows:

(in thousands)	2021		2020
Beginning balance, January 1	$	4,257,336	$	4,142,013
Acquisitions	108,435		115,323
Measurement period adjustments	(2,701)		—
Ending balance, December 31	$	4,363,070	$	4,257,336