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Acquisitions (Tables)
12 Months Ended
Dec. 31, 2020
Business Combinations [Abstract]  
Summary of Changes in Goodwill

The following table summarizes changes in goodwill for the years 2019 and 2020 (in thousands):

Balance at January 1, 2019

 

$

2,044,837

 

Increase from contribution of redeemable noncontrolling interests

 

 

3,300

 

Increase from 2019 acquisitions

 

 

36,967

 

Goodwill at December 31, 2019

 

 

2,085,104

 

Increase from contribution of redeemable noncontrolling interests

 

 

20,200

 

Adjustments related to 2019 acquisitions

 

 

(40

)

Goodwill at December 31, 2020

 

$

2,105,264

 

Transaction Related Expenses as Incurred

Transaction-related expenses represent costs primarily related to termination, restructuring, strategic review, management transition and other acquisition-related costs. Transaction-related expenses comprised the following costs for the years ended years ended December 31, 2020, 2019 and 2018 (in thousands):

 

 

 

Year Ended December 31,

 

 

 

2020

 

 

2019

 

 

2018

 

Legal, accounting and other acquisition-related costs

 

$

8,252

 

 

$

3,030

 

 

$

3,152

 

Termination, restructuring and strategic review costs

 

 

3,468

 

 

 

12,598

 

 

 

12,534

 

Management transition costs

 

 

 

 

 

5,529

 

 

 

14,033

 

 

 

$

11,720

 

 

$

21,157

 

 

$

29,719