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Acquisitions - Assets acquired and liabilities assumed (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | --- | ---
Business Acquisition [Line Items] |  |  |
Goodwill | $ 7,112,560 | $ 7,076,610 | $ 7,046,241
Series of individually immaterial business acquisitions |  |  |
Business Acquisition [Line Items] |  |  |
Current assets | 6,128 | 6,389 | 9,134
Property and equipment | 4,130 | 7,481 | 9,277
Customer relationships | 0 | 0 | 17,200
Noncompetition agreements and other long-term assets | 785 | 1,066 | 9,964
Indefinite-lived licenses | 15,789 | 19,610 | 11,432
Goodwill | 25,723 | 49,047 | 173,244
Liabilities Assumed | (6,179) | (6,081) | (14,200)
Noncontrolling interests assumed | (181) | (867) | (3,921)
Aggregate purchase price | $ 46,195 | $ 76,645 | $ 212,130

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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 -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479907/805-20-50-1 + Details
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