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Goodwill and Other Intangible Assets (Tables) | 3 Months Ended
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Mar. 31, 2026
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Intangible Assets | Other intangible assets consisted of the following (in thousands):
|  | March 31, 2026 |  | December 31, 2025
| Weighted-average amortization period | Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Value |  | Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Value
Client relationships | 15 years | $ | 4,199,517 |  |  | $ | (2,721,405) |  |  | $ | 1,478,112 |  |  | $ | 4,199,517 |  |  | $ | (2,651,110) |  |  | $ | 1,548,407 |
Provider network | 15 years | 896,800 |  |  | (586,906) |  |  | 309,894 |  |  | 896,800 |  |  | (571,959) |  |  | 324,841 |
Technology | 6 years | 21,850 |  |  | (12,766) |  |  | 9,084 |  |  | 21,850 |  |  | (12,213) |  |  | 9,637 |
Trade names | 9 years | 2,670 |  |  | (1,484) |  |  | 1,186 |  |  | 2,670 |  |  | (1,421) |  |  | 1,249 |
Non-compete | 5 years | 1,000 |  |  | (580) |  |  | 420 |  |  | 1,000 |  |  | (530) |  |  | 470 |
Total |  | $ | 5,121,837 |  |  | $ | (3,323,141) |  |  | $ | 1,798,696 |  |  | $ | 5,121,837 |  |  | $ | (3,237,233) |  |  | $ | 1,884,604 |
Schedule of Goodwill Roll forward | Goodwill was as follows (in thousands):
| March 31, 2026 |  | December 31, 2025
Gross goodwill | $ | 4,489,636 |  |  | $ | 4,489,636 |
Accumulated impairment | (2,083,783) |  |  | (2,083,783) |
Total goodwill | $ | 2,405,853 |  |  | $ | 2,405,853 |

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- Definition Tabular disclosure of assets, excluding financial assets and goodwill, lacking physical substance with a finite life, by either major class or business segment. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Name Accounting Standards Codification -Section 55 -Paragraph 40 -SubTopic 30 -Topic 350 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482640/350-30-55-40 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 350 -SubTopic 30 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482665/350-30-50-2 + Details
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