GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)

12 Months Ended

Dec. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of the Carrying Amount of Goodwill

Changes in the carrying amount of goodwill consist of the following activity for the years ended December 31, 2024, 2023 and 2022 (in thousands):

Balance at December 31, 2021	$	1,477,564
Acquisitions	54,543
Purchase accounting adjustments	1,317
Balance at December 31, 2022	$	1,533,424
Acquisitions	6,998
Purchase accounting adjustments	(176)
Balance at December 31, 2023	$	1,540,246
Acquisitions	—
Purchase accounting adjustments	—
Balance at December 31, 2024	$	1,540,246

Schedule of Carrying Amount and Accumulated Amortization of Intangible Assets

The carrying amount and accumulated amortization of intangible assets consist of the following as of December 31, 2024 and 2023 (in thousands):

	December 31, 2024		December 31, 2023
Gross intangible assets:
Referral sources	$	514,388	$	514,388
Trademarks/names	39,136		39,136
Other amortizable intangible assets	985		995
Total gross intangible assets	554,509		554,519
Accumulated amortization:
Referral sources	(230,371)		(199,084)
Trademarks/names	(22,599)		(19,698)
Other amortizable intangible assets	(529)		(341)
Total accumulated amortization	(253,499)		(219,123)
Total intangible assets, net	$	301,010	$	335,396

Schedule of Future Amortization Expense for Intangible Assets

Expected future amortization expense for intangible assets recorded at December 31, 2024, is as follows (in thousands):

	Amount
2025	$	34,176
2026	34,071
2027	33,931
2028	33,880
2029	33,875
2030 and beyond	131,077
Total	$	301,010