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Intangible Assets
 6 Months Ended
Jun. 30, 2024
Intangible Assets [Abstract]  
Intangible Assets
Note 7: Intangible Assets
Intangible assets, net consisted of the following as of:
June 30, 2024December 31, 2023
Gross Carrying
Amount		Accumulated
Amortization		Net Carrying
Amount		Gross Carrying
Amount		Accumulated
Amortization		Net Carrying
Amount
(in thousands)
Indefinite lived intangible assets:
Medical licenses$700 $— $700 $700 $— $700 
Definite lived intangible assets:      
Customer relationships684,000 (176,700)507,300 684,000 (142,500)541,500 
Trademarks148,635 (39,056)109,579 148,635 (31,671)116,964 
Payor contracts4,700 (1,175)3,525 4,700 (940)3,760 
Provider network4,800 (1,231)3,569 4,800 (991)3,809 
Total$842,835 $(218,162)$624,673 $842,835 $(176,102)$666,733 
Amortization of intangible assets was $21.0 million and $21.1 million during the three months ended June 30, 2024 and 2023, respectively, and $42.1 million and $42.0 million during the six months ended June 30, 2024 and 2023, respectively