| Schedule of Finite-Lived Intangible Assets |
As of each balance sheet date, other intangible assets consisted of the following: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | June 30, 2025 | | December 31, 2024 | | (in thousands) | Weighted-average amortization period | | Gross
Carrying
Amount | | Accumulated
Amortization | | Net
Carrying
Value | | Gross
Carrying
Amount | | Accumulated
Amortization | | Net
Carrying
Value | | Customer relationships | 15 years | | $ | 4,197,480 | | | $ | (2,510,946) | | | $ | 1,686,534 | | | $ | 4,197,480 | | | $ | (2,370,865) | | | $ | 1,826,615 | | | Provider network | 15 years | | 896,800 | | | (542,066) | | | 354,734 | | | 896,800 | | | (512,172) | | | 384,628 | | | Technology | 6 years | | 21,850 | | | (10,682) | | | 11,168 | | | 21,850 | | | (8,940) | | | 12,910 | | | Trade names | 9 years | | 2,670 | | | (1,295) | | | 1,375 | | | 2,670 | | | (1,170) | | | 1,500 | | | | | | | | | | | | | | | | | Non-compete | 5 years | | 1,000 | | | (430) | | | 570 | | | 1,000 | | | (330) | | | 670 | | | Total | | | $ | 5,119,800 | | | $ | (3,065,419) | | | $ | 2,054,381 | | | $ | 5,119,800 | | | $ | (2,893,477) | | | $ | 2,226,323 | |
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| Schedule of Goodwill |
Goodwill for the three and six months ended June 30, 2025 and 2024 was as follows: | | | | | | | | | | | | | ($ in thousands) | 2025 | | 2024 | | Balance as of December 31 (Prior Year) | | | | | Goodwill | $ | 4,486,923 | | | $ | 4,486,923 | | | Accumulated impairment losses | $ | (2,083,783) | | | $ | (657,921) | | | $ | 2,403,140 | | | $ | 3,829,002 | | | Goodwill acquired during period | $ | — | | | $ | — | | | Impairment Losses | $ | — | | | $ | (516,350) | | | Balance as of March 31 | $ | 2,403,140 | | | $ | 3,312,652 | | | Goodwill acquired during period | $ | — | | | $ | — | | | Impairment Losses | $ | — | | | $ | (553,701) | | | Balance as of June 30 | | | | | Goodwill | $ | 4,486,923 | | | $ | 4,486,923 | | | Accumulated impairment losses | $ | (2,083,783) | | | $ | (1,727,972) | | | $ | 2,403,140 | | | $ | 2,758,951 | |
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