Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2022

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
Customer 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,
		2022						2021
(in thousands)	Weighted-average amortization period	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Customer relationships	15 years	$	4,178,280	$	(1,810,880)	$	2,367,400	$	4,178,280	$	(1,531,679)	$	2,646,601
Provider network	15 years	896,800		(392,599)		504,201		896,800		(332,812)		563,988
Technology	5 years	6,350		(2,752)		3,598		6,350		(1,482)		4,868
Trade names	9 years	2,670		(668)		2,002		2,670		(390)		2,280
Trade names	Indefinite	63,000		—		63,000		67,300		—		67,300
Total		$	5,147,100	$	(2,206,899)	$	2,940,201	$	5,151,400	$	(1,866,363)	$	3,285,037

Schedule of Goodwill

Goodwill for the years ended December 31, 2022 and 2021 are as follows:

(in thousands)	2022		2021
Beginning balance, January 1	$	4,363,070	$	4,257,336
Acquisitions	—		108,435
Measurement period adjustments	51		(2,701)
Loss on impairment	(657,922)		—
Ending balance, December 31	$	3,705,199	$	4,363,070