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GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)
 9 Months Ended
Sep. 30, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
Changes in the carrying amount of goodwill consist of the following for the three and nine months ended September 30, 2025 (in thousands):
Amount
Balance at December 31, 2024
$1,540,246 
Acquisitions65,684 
Balance at March 31, 2025$1,605,930 
Purchase accounting adjustments(75)
Balance at June 30, 2025$1,605,855 
Purchase accounting adjustments791 
Balance at September 30, 2025
$1,606,646 
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 September 30, 2025 and December 31, 2024 (in thousands):
September 30, 2025December 31, 2024
Gross intangible assets:
Referral sources$551,188 $514,388 
Trademarks/names46,808 39,136 
Other amortizable intangible assets985 985 
Total gross intangible assets598,981 554,509 
Accumulated amortization:
Referral sources(255,472)(230,371)
Trademarks/names(24,385)(22,599)
Other amortizable intangible assets(676)(529)
Total accumulated amortization(280,533)(253,499)
Total intangible assets, net$318,448 $301,010