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Acquisitions (Tables)
 9 Months Ended
Sep. 30, 2023
Business Combinations [Abstract]  
Summary of Changes in 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 as Incurred 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