| Summary of Changes to Goodwill, by Reportable Segment |
A summary of changes to goodwill, by reportable segment, is as follows (in thousands):
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Goodwill |
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Pharmacy Solutions |
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Provider Services |
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Total |
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Goodwill at January 1, 2025* |
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$ |
841,052 |
|
|
$ |
1,522,832 |
|
|
$ |
2,363,884 |
|
Goodwill added through acquisitions |
|
|
— |
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|
|
6,430 |
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|
|
6,430 |
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Measurement period adjustments |
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|
— |
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|
|
128 |
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|
|
128 |
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Foreign currency adjustments |
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|
— |
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|
|
124 |
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|
|
124 |
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Goodwill at September 30, 2025* |
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$ |
841,052 |
|
|
$ |
1,529,514 |
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|
$ |
2,370,566 |
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* For the periods presented, the carrying amount of goodwill is presented net of accumulated impairment losses of $40.9 million.
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| Schedule of Intangible Assets |
Intangible assets are as follows (in thousands):
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September 30, 2025 |
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December 31, 2024 |
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Gross |
|
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Accumulated
Amortization |
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Net Carrying
Value |
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|
Gross |
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Accumulated
Amortization |
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Net Carrying
Value |
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|
Life
(Years) |
Customer relationships |
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$ |
517,753 |
|
|
$ |
354,982 |
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|
$ |
162,771 |
|
|
$ |
542,137 |
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|
$ |
335,647 |
|
|
$ |
206,490 |
|
|
5-20 |
Trade names |
|
|
328,968 |
|
|
|
156,431 |
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|
|
172,537 |
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|
|
332,977 |
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|
|
140,020 |
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|
|
192,957 |
|
|
2-20 |
Licenses |
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|
60,515 |
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|
|
17,970 |
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|
|
42,545 |
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|
|
68,425 |
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|
|
17,528 |
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|
|
50,897 |
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|
10-20 |
Doctor/payor network |
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|
5,650 |
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|
|
4,800 |
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|
|
850 |
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|
|
12,730 |
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|
|
10,965 |
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|
|
1,765 |
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|
5-8 |
Covenants not to compete |
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|
6,874 |
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|
|
4,605 |
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|
|
2,269 |
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|
|
8,790 |
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|
|
5,886 |
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|
|
2,904 |
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|
2-7 |
Other intangible assets |
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|
10,940 |
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|
|
7,535 |
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|
|
3,405 |
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|
|
10,940 |
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|
|
6,362 |
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|
|
4,578 |
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|
5-7 |
Total definite-lived assets |
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$ |
930,700 |
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|
$ |
546,323 |
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|
$ |
384,377 |
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|
$ |
975,999 |
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|
$ |
516,408 |
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|
$ |
459,591 |
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|
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Licenses |
|
|
137,233 |
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|
|
— |
|
|
|
137,233 |
|
|
|
135,633 |
|
|
|
— |
|
|
|
135,633 |
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Indefinite |
Total intangible assets |
|
$ |
1,067,933 |
|
|
$ |
546,323 |
|
|
$ |
521,610 |
|
|
$ |
1,111,632 |
|
|
$ |
516,408 |
|
|
$ |
595,224 |
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