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GOODWILL AND OTHER INTANGIBLE ASSETS
 6 Months Ended
Jun. 30, 2026
Intangible Asset, Goodwill and Other [Abstract]  
GOODWILL AND OTHER INTANGIBLE ASSETS GOODWILL AND OTHER INTANGIBLE ASSETS
There was no change in the carrying amount of goodwill for the three and six months ended June 30, 2026.
Changes in the carrying amount of goodwill consist of the following for the three and six months ended June 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 
The carrying amount and accumulated amortization of intangible assets consist of the following as of June 30, 2026 and December 31, 2025 (in thousands):
June 30, 2026December 31, 2025
Gross intangible assets:
Referral sources$551,188 $551,188 
Trademarks/names46,808 46,808 
Other amortizable intangible assets985 985 
Total gross intangible assets598,981 598,981 
Accumulated amortization:
Referral sources(280,778)(263,907)
Trademarks/names(26,740)(25,170)
Other amortizable intangible assets(824)(726)
Total accumulated amortization(308,342)(289,803)
Total intangible assets, net$290,639 $309,178 
Amortization expense for intangible assets was $9.3 million and $18.5 million for the three and six months ended June 30, 2026, respectively. Amortization expense for intangible assets was $9.3 million and $18.4 million for the three and six months ended June 30, 2025, respectively.