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Acquisitions (Tables)
 12 Months Ended
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