Quarterly report pursuant to Section 13 or 15(d)

Intangible Assets - Changes (Details)

v3.22.2.2
Intangible Assets - Changes (Details)
 6 Months Ended
Jun. 30, 2022
USD ($)
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning $ 835,838,605
Amortization (42,285,014)
Balance at the end 793,553,591
Customer Relationships  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 678,300,000
Amortization (34,200,000)
Balance at the end 644,100,000
Trademarks  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 147,369,167
Amortization (7,610,000)
Balance at the end 139,759,167
Provider Contracts  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 4,700,271
Amortization (235,014)
Balance at the end 4,465,257
Provider Network  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 4,769,167
Amortization (240,000)
Balance at the end 4,529,167
Other  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 700,000
Balance at the end $ 700,000