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Goodwill and Other Intangible Assets (Tables) | 6 Months Ended
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Jun. 30, 2026
Intangible Asset, Goodwill and Other [Abstract] |
Schedule of Intangible Assets | Other intangible assets consisted of the following (in thousands):
|  | June 30, 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 |  |  | $ | (2,791,701) |  |  | $ | 1,407,816 |  |  | $ | 4,199,517 |  |  | $ | (2,651,110) |  |  | $ | 1,548,407 |
Provider network | 15 years | 896,800 |  |  | (601,852) |  |  | 294,948 |  |  | 896,800 |  |  | (571,959) |  |  | 324,841 |
Technology | 6 years | 21,850 |  |  | (13,320) |  |  | 8,530 |  |  | 21,850 |  |  | (12,213) |  |  | 9,637 |
Trade names | 9 years | 2,670 |  |  | (1,546) |  |  | 1,124 |  |  | 2,670 |  |  | (1,421) |  |  | 1,249 |
Non-compete | 5 years | 1,000 |  |  | (630) |  |  | 370 |  |  | 1,000 |  |  | (530) |  |  | 470 |
Total |  | $ | 5,121,837 |  |  | $ | (3,409,049) |  |  | $ | 1,712,788 |  |  | $ | 5,121,837 |  |  | $ | (3,237,233) |  |  | $ | 1,884,604 |
Schedule of Goodwill Roll forward | Goodwill was as follows (in thousands):
| June 30, 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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