Quarterly report pursuant to Section 13 or 15(d)

Intangible Assets - Changes (Details)

v3.22.2.2
Intangible Assets - Changes (Details)
 9 Months Ended
Sep. 30, 2022
USD ($)
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning $ 835,838,605
Amortization (63,427,522)
Balance at the end 772,411,083
Customer Relationships  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 678,300,000
Amortization (51,300,000)
Balance at the end 627,000,000
Trademarks  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 147,369,167
Amortization (11,415,000)
Balance at the end 135,954,167
Payor Contracts  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 4,700,271
Amortization (352,522)
Balance at the end 4,347,749
Provider Network  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 4,769,167
Amortization (360,000)
Balance at the end 4,409,167
Other  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 700,000
Balance at the end $ 700,000