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Acquisitions | 9 Months Ended
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Sep. 30, 2023
Business Combinations [Abstract] |
Acquisitions | 5. Acquisitions The Company’s strategy is to acquire and develop behavioral healthcare facilities and improve operating results within its facilities and its other behavioral healthcare operations. On November 7, 2022, the Company completed the acquisition of four CTCs located in Georgia from Brand New Start Treatment Centers. In July 2023, the Company signed a definitive agreement to acquire substantially all of the assets of Turning Point Centers (“Turning Point”), a 76-bed specialty provider of substance use disorder and primary mental health treatment services that supports the Salt Lake City, Utah, metropolitan market. Turning Point provides a full continuum of treatment services, including residential, partial hospitalization and intensive outpatient services. The transaction is expected to close by the end of 2023. Goodwill The changes in goodwill are as follows (in thousands):
Balance at January 1, 2022 | $ | 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 |
Increase from acquisitions |  | 336 |
Increase from contributions of redeemable noncontrolling interests |  | 2,821 |
Balance at September 30, 2023 | $ | 2,225,962 |
Transaction-related expenses 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 three and nine months ended September 30, 2023 and 2022 (in thousands):
| Three Months Ended September 30, |  |  | Nine Months Ended September 30, |
| 2023 |  |  | 2022 |  |  | 2023 |  |  | 2022 |
Legal, accounting and other acquisition-related costs | $ | 4,196 |  |  | $ | 2,020 |  |  | $ | 6,761 |  |  | $ | 4,696 |
Management transition costs |  | 3,615 |  |  |  | 5,626 |  |  |  | 14,590 |  |  |  | 7,826 |
Termination and restructuring costs |  | 3,436 |  |  |  | 3,213 |  |  |  | 5,441 |  |  |  | 5,859 |
| $ | 11,247 |  |  | $ | 10,859 |  |  | $ | 26,792 |  |  | $ | 18,381 |

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- Definition The entire disclosure for a business combination (or series of individually immaterial business combinations) completed during the period, including background, timing, and recognized assets and liabilities. The disclosure may include leverage buyout transactions (as applicable). + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 805 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479907/805-20-50-5 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 805 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//805/tableOfContent + Details
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