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Acquisitions (Tables) | 12 Months Ended
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Dec. 31, 2022
Business Combinations [Abstract] |
Summary of Preliminary Fair Values of Assets Acquired and Liabilities Assumed | The fair values of assets acquired and liabilities assumed in the CenterPointe acquisition were as follows (in thousands):
Cash |  | $ | 5,640 |
Accounts receivable, net |  |  | 9,358 |
Other current assets |  |  | 1,981 |
Property and equipment |  |  | 35,227 |
Goodwill |  |  | 105,883 |
Intangible assets |  |  | 825 |
Deferred tax assets |  |  | 1,573 |
Operating lease right-of-use assets |  |  | 29,245 |
Total assets acquired |  |  | 189,732 |
Accounts payable |  |  | 3,820 |
Accrued salaries and benefits |  |  | 3,585 |
Current portion of operating lease liabilities |  |  | 2,820 |
Other accrued liabilities |  |  | 4,326 |
Deferred tax liability |  |  | 1,805 |
Operating lease liabilities |  |  | 27,850 |
Total liabilities assumed |  |  | 44,206 |
Net assets acquired |  | $ | 145,526 |
Summary of Changes in Goodwill | The following table summarizes changes in goodwill for the years ended December 31, 2022 and 2021 (in thousands):
Balance at January 1, 2021 |  | $ | 2,105,264 |
Increase from acquisitions |  |  | 97,122 |
2021 dispositions |  |  | (2,449 | )
Balance at December 31, 2021 |  |  | 2,199,937 |
Increase from acquisitions |  |  | 9,488 |
Adjustments related to 2021 acquisitions |  |  | 8,761 |
Increase from contributions of redeemable noncontrolling interests |  |  | 4,619 |
Balance at December 31, 2022 |  | $ | 2,222,805 |
Transaction Related Expenses as Incurred | Transaction-related expenses represent costs primarily related to legal, accounting, termination, restructuring, management transition, acquisition and other similar costs. Transaction-related expenses comprised the following costs for the years ended December 31, 2022, 2021 and 2020 (in thousands):
|  | Year Ended December 31, |
|  | 2022 |  |  | 2021 |  |  | 2020 |
Management transition costs |  | $ | 11,575 |  |  | $ | — |  |  | $ | — |
Termination and restructuring costs |  |  | 6,476 |  |  |  | 5,343 |  |  |  | 3,468 |
Legal, accounting and other acquisition-related costs |  |  | 5,741 |  |  |  | 7,435 |  |  |  | 8,252 |
|  | $ | 23,792 |  |  | $ | 12,778 |  |  | $ | 11,720 |

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