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GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)
3 Months Ended
Mar. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of the Carrying Amount of Goodwill
Changes in the carrying amount of goodwill consists of the following activity for the three months ended March 31, 2020 (in thousands):
Balance at December 31, 2019
 
$
1,425,542

Purchase accounting adjustments
 
2,341

Balance at March 31, 2020
 
$
1,427,883

Schedule of Carrying Amount and Accumulated Amortization of Intangible Assets
The carrying amount and accumulated amortization of intangible assets consists of the following as of March 31, 2020 and December 31, 2019 (in thousands):
 
 
March 31, 2020
 
December 31, 2019
Gross intangible assets:
 
 
 
 
Referral sources
 
$
438,121

 
$
438,121

Trademarks/names
 
44,536

 
44,536

Other amortizable intangible assets
 
402

 
402

Total gross intangible assets
 
483,059

 
483,059

 
 
 
 
 
Accumulated amortization:
 
 
 
 
Referral sources
 
(90,846
)
 
(84,295
)
Trademarks/names
 
(14,845
)
 
(12,748
)
Other amortizable intangible assets
 
(172
)
 
(106
)
Total accumulated amortization
 
(105,863
)
 
(97,149
)
Total intangible assets, net
 
$
377,196

 
$
385,910