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GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)
12 Months Ended
Dec. 31, 2025
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, 2025, 2024, and 2023 (in thousands):
Amount
Balance at December 31, 2022$1,533,424 
Acquisitions6,998 
Purchase accounting adjustments(176)
Balance at December 31, 2023$1,540,246 
Acquisitions— 
Purchase accounting adjustments— 
Balance at December 31, 2024$1,540,246 
Acquisitions65,684 
Purchase accounting adjustments813 
Balance at December 31, 2025$1,606,743 
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, 2025 and 2024 (in thousands):
December 31, 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(263,907)(230,371)
Trademarks/names(25,170)(22,599)
Other amortizable intangible assets(726)(529)
Total accumulated amortization(289,803)(253,499)
Total intangible assets, net$309,178 $301,010 
Schedule of Future Amortization Expense for Intangible Assets
Expected future amortization expense for intangible assets recorded at December 31, 2025, is as follows (in thousands):
Amount
2026$37,078 
202736,937 
202836,887 
202936,881 
203022,745 
Thereafter138,650 
Total$309,178