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GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)
12 Months Ended
Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of the Carrying Amount of Goodwill
Changes in the carrying amount of goodwill consist of the following activity for the years ended December 31, 2019 and 2018 (in thousands):
Balance at December 31, 2017
 
$
627,392

Acquisitions
 
5,077

Balance at December 31, 2018
 
$
632,469

Acquisitions
 
793,073

Balance at December 31, 2019
 
$
1,425,542

Schedule of Carrying Amount and Accumulated Amortization of Intangible Assets
The carrying amount and accumulated amortization of intangible assets consists of the following as of December 31, 2019 and 2018 (in thousands):
 
 
December 31, 2019
 
December 31, 2018
Gross intangible assets:
 
 
 
 
Referral sources
 
$
438,121

 
$
257,792

Trademarks/names
 
44,536

 
32,000

Other amortizable intangible assets
 
402

 
4,151

Total gross intangible assets
 
483,059

 
293,943

 
 
 
 
 
Accumulated amortization:
 
 
 
 
Referral sources
 
(84,295
)
 
(63,353
)
Trademarks/names
 
(12,748
)
 
(8,000
)
Other amortizable intangible assets
 
(106
)
 
(2,877
)
Total accumulated amortization
 
(97,149
)
 
(74,230
)
Total intangible assets, net
 
$
385,910

 
$
219,713

Schedule of Future Amortization Expense for Intangible Assets
Expected future amortization expense for intangible assets recorded at December 31, 2019, is as follows (in thousands):
2020
 
$
34,859

2021
 
32,015

2022
 
28,338

2023
 
28,338

2024
 
28,338

2025 and beyond
 
234,022

Total
 
$
385,910