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Acquisitions - Assets acquired and liabilities assumed (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
--- | --- | --- | ---
Business Acquisition [Line Items] |  |  |
Goodwill | $ 7,076,610 | $ 7,046,241 | $ 6,919,109
Series of individually immaterial business acquisitions |  |  |
Business Acquisition [Line Items] |  |  |
Current assets | 6,389 | 9,134 | 23,607
Property and equipment | 7,481 | 9,277 | 37,457
Customer relationships | 0 | 17,200 | 34,625
Noncompetition agreements and other long-term assets | 1,066 | 9,964 | 10,168
Indefinite-lived licenses | 19,610 | 11,432 | 22,136
Goodwill | 49,047 | 173,244 | 130,057
Deferred income taxes | 0 | 0 | (3,962)
Liabilities Assumed | (6,081) | (14,200) | (34,068)
Noncontrolling interests assumed | (867) | (3,921) | (1,729)
Aggregate purchase price | $ 76,645 | $ 212,130 | $ 218,291

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- Definition Amount of deferred tax liability attributable to taxable temporary differences assumed at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=128092470&loc=d3e4845-128472 + Details
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- Definition Amount of intangible assets, excluding goodwill, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=128092470&loc=d3e4845-128472 + Details
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