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Acquisitions (Tables)
9 Months Ended
Sep. 30, 2025
Business Combination [Abstract]  
Summary of Changes in Goodwill

The changes in goodwill during 2024 and 2025 are as follows (in thousands):

 

Balance at January 1, 2024

$

2,225,962

 

Increase from acquisitions

 

38,889

 

Balance at December 31, 2024

 

2,264,851

 

Increase from acquisitions

 

8,419

 

Increase from contribution of redeemable noncontrolling interests

 

12,775

 

Adjustments related to 2024 acquisitions

 

389

 

Balance at September 30, 2025

$

2,286,434