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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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