Quarterly report pursuant to Section 13 or 15(d)

Intangible Assets - Changes (Details)

v3.22.2.2
Intangible Assets - Changes (Details)
 3 Months Ended
Mar. 31, 2022
USD ($)
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning $ 835,838,605
Amortization (21,161,282)
Balance at the end 814,677,323
Customer Relationships  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 678,300,000
Amortization (17,118,774)
Balance at the end 661,181,226
Trademarks  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 147,369,167
Amortization (3,805,000)
Balance at the end 143,564,167
Payor Contracts  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 4,700,271
Amortization (117,508)
Balance at the end 4,582,763
Provider Network  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 4,769,167
Amortization (120,000)
Balance at the end 4,649,167
Medical Licenses  
Finite-Lived Intangible Assets [Line Items]  
Balance at the beginning 700,000
Balance at the end $ 700,000