GOODWILL AND OTHER INTANGIBLE ASSETS

3 Months Ended

Mar. 31, 2025

Goodwill and Intangible Assets Disclosure [Abstract]

GOODWILL AND OTHER INTANGIBLE ASSETS

GOODWILL AND OTHER INTANGIBLE ASSETS

Changes in the carrying amount of goodwill consist of the following for the three months ended March 31, 2025 (in thousands):

	Amount
Balance at December 31, 2024	$	1,540,246
Acquisitions	65,684
Balance at March 31, 2025	$	1,605,930

The carrying amount and accumulated amortization of intangible assets consist of the following as of March 31, 2025 and December 31, 2024 (in thousands):

	March 31, 2025		December 31, 2024
Gross intangible assets:
Referral sources	$	551,188	$	514,388
Trademarks/names	47,436		39,136
Other amortizable intangible assets	985		985
Total gross intangible assets	599,609		554,509
Accumulated amortization:
Referral sources	(238,602)		(230,371)
Trademarks/names	(23,416)		(22,599)
Other amortizable intangible assets	(578)		(529)
Total accumulated amortization	(262,596)		(253,499)
Total intangible assets, net	$	337,013	$	301,010

Amortization expense for intangible assets was $9.1 million and $8.6 million for the three months ended March 31, 2025 and 2024, respectively.