INTANGIBLE ASSETS (Tables)

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Finite-Lived Intangible Assets

Amortization periods by class of intangible assets with finite lives were as follows as of December 31, 2023:

Licenses	9-15 years
Tradenames	5-10 years
Technology	5-10 years

As of December 31, 2023 and December 31, 2022, intangible assets consisted of the following:

	Licenses		Tradenames		Technology		Total
Cost
Balance as of January 1, 2023	$	1,274,981	$	54,166	$	6,431	$	1,335,578
Impairment	(7,605)		—		—		(7,605)
Other Additions(1)	1,950		—		—		1,950
Balance as of December 31, 2023	$	1,269,326	$	54,166	$	6,431	$	1,329,923
Accumulated Amortization
Balance as of January 1, 2023	143,246		9,579		1,987		154,812
Amortization	84,997		5,422		1,038		91,457
Impairment	(2,492)		—		—		(2,492)
Balance as of December 31, 2023	$	225,751	$	15,001	$	3,025	$	243,777
Net Book Value
Balance as of January 1, 2023	1,131,735		44,587		4,444		1,180,766
Balance as of December 31, 2023	$	1,043,575	$	39,165	$	3,406	$	1,086,146

(1) The Company obtained a license following regulatory approval where payment consideration occurred in prior periods.

	Licenses		Tradenames		Technology		Total
Cost
Balance as of January 1, 2022	$	1,386,131	$	54,166	$	11,603	$	1,451,900
Purchases	—		—		—		—
Additions from business combination	21,545		—		—		21,545
Adjustments to purchase price allocation	(2,025)		—		(5,172)		(7,197)
Impairment	(130,670)		—		—		(130,670)
Balance as of December 31, 2022	$	1,274,981	$	54,166	$	6,431	$	1,335,578
Accumulated Amortization
Balance as of January 1, 2022	66,703		4,158		1,126		71,987
Amortization	91,062		5,421		861		97,344
Impairment	$	(14,519)	$	—	$	—	$	(14,519)
Balance as of December 31, 2022	$	143,246	$	9,579	$	1,987	$	154,812
Net Book Value
Balance as of January 1, 2022	1,319,428		50,008		10,477		1,379,913
Balance as of December 31, 2022	$	1,131,735	$	44,587	$	4,444	$	1,180,766

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense

The following table outlines the estimated annual amortization expense related to intangible assets as of December 31, 2023:

Year Ending December 31:	Estimated Amortization
2024	$	91,149
2025	91,149
2026	90,434
2027	90,360
2028	90,342
Thereafter	632,712
Total	$	1,086,146