| Intangible assets and goodwill |
12.Intangible assets and goodwill At December 31, 2025 and 2024, the acquisition or manufacturing costs and the accumulated amortization and impairment of intangible assets and goodwill consisted of the following: Acquisition or manufacturing costs in € K | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | January 1, | | currency | | consolidation | | | | | | | | December 31, | | | 2025 | | translation | | group | | Additions | | Reclassifications(1) | | Disposals | | 2025 | Amortizable intangible assets | | | | | | | | | | | | | | | Non-compete agreements | | 33,745 | | (10,842) | | 719 | | — | | — | | (3,972) | | 19,650 | Technology | | 701,385 | | (73,616) | | — | | — | | 432 | | (173) | | 628,028 | Licenses and distribution agreements | | 75,635 | | (3,958) | | — | | — | | (3,737) | | (20,358) | | 47,582 | Customer relationships | | 74,575 | | (7,639) | | — | | — | | — | | (18,295) | | 48,641 | Intangible assets under construction | | 417,861 | | (14,486) | | — | | 133,111 | | (298,043) | | (2,023) | | 236,420 | Internally developed intangibles | | 425,227 | | (24,221) | | (633) | | 8,710 | | 294,761 | | (37,235) | | 666,609 | Other | | 244,947 | | (9,354) | | 1,525 | | 5,196 | | 2,388 | | (48,367) | | 196,335 | | | 1,973,375 | | (144,116) | | 1,611 | | 147,017 | | (4,199) | | (130,423) | | 1,843,265 | Non-amortizable intangible assets | | | | | | | | | | | | | | | Trade names | | 252,825 | | (29,244) | | — | | — | | — | | — | | 223,581 | Management contracts | | 2,594 | | (205) | | — | | — | | — | | (770) | | 1,619 | Emission certificates | | 37,354 | | — | | — | | — | | — | | (6,480) | | 30,874 | | | 292,773 | | (29,449) | | — | | — | | — | | (7,250) | | 256,074 | | | | | | | | | | | | | | | | Intangible assets | | 2,266,148 | | (173,565) | | 1,611 | | 147,017 | | (4,199) | | (137,673) | | 2,099,339 | | | | | | | | | | | | | | | | Goodwill | | 15,671,740 | | (1,642,863) | | 14,283 | | — | | (94,060) | | — | | 13,949,100 |
(1) Includes amounts reclassified as assets held for sale. Acquisition or manufacturing costs in € K | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | January 1, | | currency | | consolidation | | | | | | | | December 31, | | | 2024 | | translation | | group | | Additions | | Reclassifications(1) | | Disposals (2) | | 2024 | Amortizable intangible assets | | | | | | | | | | | | | | | Non-compete agreements | | 328,688 | | 7,074 | | (1,905) | | 394 | | (4,301) | | (296,205) | | 33,745 | Technology | | 664,620 | | 37,955 | | — | | — | | (73) | | (1,117) | | 701,385 | Licenses and distribution agreements | | 162,687 | | 2,741 | | (4) | | 610 | | (295) | | (90,104) | | 75,635 | Customer relationships | | 71,484 | | 3,280 | | — | | — | | — | | (189) | | 74,575 | Intangible assets under construction | | 350,991 | | 8,341 | | — | | 82,252 | | (22,731) | | (992) | | 417,861 | Internally developed intangibles | | 527,282 | | 10,284 | | (277) | | 17,984 | | 20,578 | | (150,624) | | 425,227 | Other | | 411,803 | | 3,590 | | (5,122) | | 5,226 | | (27,006) | | (143,544) | | 244,947 | | | 2,517,555 | | 73,265 | | (7,308) | | 106,466 | | (33,828) | | (682,775) | | 1,973,375 | Non-amortizable intangible assets | | | | | | | | | | | | | | | Trade names | | 225,664 | | 14,788 | | — | | — | | 13,673 | | (1,300) | | 252,825 | Management contracts | | 2,534 | | 47 | | 13 | | — | | — | | — | | 2,594 | Emission certificates | | 39,874 | | — | | — | | — | | — | | (2,520) | | 37,354 | | | 268,072 | | 14,835 | | 13 | | — | | 13,673 | | (3,820) | | 292,773 | | | | | | | | | | | | | | | | Intangible assets | | 2,785,627 | | 88,100 | | (7,295) | | 106,466 | | (20,155) | | (686,595) | | 2,266,148 | | | | | | | | | | | | | | | | Goodwill | | 15,247,800 | | 812,893 | | (81,891) | | — | | (307,062) | | — | | 15,671,740 |
| (1) | Includes amounts reclassified as assets held for sale. |
| (2) | Included within the amounts presented for non-compete agreements, licenses and distribution agreements, internally developed intangibles, and other intangible assets are €280,839, €90,044, €102,244 and €119,358, respectively, for disposals of fully-amortized intangibles from prior periods. |
Accumulated amortization and impairment in € K | | | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | | | January 1, | | currency | | consolidation | | | | Impairment | | | | | | December 31, | | | 2025 | | translation | | group | | Additions | | loss | | Reclassifications(1) | | Disposals | | 2025 | Amortizable intangible assets | | | | | | | | | | | | | | | | | Non-compete agreements | | 24,589 | | (10,092) | | — | | 3,379 | | 536 | | — | | (3,973) | | 14,439 | Technology | | 373,236 | | (37,767) | | — | | 48,992 | | — | | — | | (173) | | 384,288 | Licenses and distribution agreements | | 67,677 | | (3,550) | | — | | 2,726 | | — | | — | | (20,358) | | 46,495 | Customer relationships | | 32,327 | | (3,073) | | — | | 4,504 | | 2,118 | | 5 | | (18,296) | | 17,585 | Intangible assets under construction | | — | | — | | — | | — | | — | | — | | — | | — | Internally developed intangibles | | 243,809 | | (10,279) | | (509) | | 63,237 | | 1 | | (95) | | (36,421) | | 259,743 | Other | | 152,439 | | (2,613) | | (116) | | 18,385 | | 980 | | 81 | | (47,946) | | 121,210 | | | 894,077 | | (67,374) | | (625) | | 141,223 | | 3,635 | | (9) | | (127,167) | | 843,760 | Non-amortizable intangible assets | | | | | | | | | | | | | | | | | Trade names | | 439 | | (10) | | — | | — | | — | | — | | — | | 429 | Management contracts | | 1,552 | | (121) | | — | | — | | — | | — | | (770) | | 661 | | | 1,991 | | (131) | | — | | — | | — | | — | | (770) | | 1,090 | | | | | | | | | | | | | | | | | | Intangible assets | | 896,068 | | (67,505) | | (625) | | 141,223 | | 3,635 | | (9) | | (127,937) | | 844,850 | | | | | | | | | | | | | | | | | | Goodwill | | 501,088 | | (43,142) | | — | | — | | 8,171 | | (88,411) | | — | | 377,706 |
(1) Includes amounts reclassified as assets held for sale. Accumulated amortization and impairment in € K | | | | | | | | | | | | | | | | | | | | | Foreign | | Changes in | | | | | | | | | | | | | January 1, | | currency | | consolidation | | | | Impairment | | | | | | December | | | 2024 | | translation | | group | | Additions | | loss | | Reclassifications(1) | | Disposals (2) | | 31, 2024 | Amortizable intangible assets | | | | | | | | | | | | | | | | | Non-compete agreements | | 315,649 | | 6,546 | | (1,900) | | 4,689 | | 55 | | (4,275) | | (296,175) | | 24,589 | Technology | | 305,567 | | 17,469 | | — | | 51,300 | | — | | 17 | | (1,117) | | 373,236 | Licenses and distribution agreements | | 152,706 | | 2,493 | | (2) | | 2,772 | | — | | (200) | | (90,092) | | 67,677 | Customer relationships | | 26,713 | | 1,139 | | — | | 4,652 | | — | | — | | (177) | | 32,327 | Intangible assets under construction | | 339 | | 7 | | — | | — | | — | | — | | (346) | | — | Internally developed intangibles | | 334,404 | | 5,783 | | (151) | | 52,695 | | 1,291 | | (1,292) | | (148,921) | | 243,809 | Other | | 284,645 | | 441 | | (4,545) | | 21,076 | | 8,320 | | (14,008) | | (143,490) | | 152,439 | | | 1,420,023 | | 33,878 | | (6,598) | | 137,184 | | 9,666 | | (19,758) | | (680,318) | | 894,077 | Non-amortizable intangible assets | | | | | | | | | | | | | | | | | Trade names | | 1,769 | | (30) | | — | | — | | — | | — | | (1,300) | | 439 | Management contracts | | 1,508 | | 44 | | — | | — | | — | | — | | — | | 1,552 | | | 3,277 | | 14 | | — | | — | | — | | — | | (1,300) | | 1,991 | | | | | | | | | | | | | | | | | | Intangible assets | | 1,423,300 | | 33,892 | | (6,598) | | 137,184 | | 9,666 | | (19,758) | | (681,618) | | 896,068 | | | | | | | | | | | | | | | | | | Goodwill | | 597,792 | | 4,723 | | (32,633) | | — | | 62,189 | | (130,983) | | — | | 501,088 |
| (1) | Includes amounts reclassified as assets held for sale. |
| (2) | Included within the amounts presented for non-compete agreements, licenses and distribution agreements, internally developed intangibles and other intangible assets are €280,839, €90,044, €102,244 and €119,358, respectively, for disposals of fully-amortized intangibles from prior periods. |
Book value in € K | | | | | | | December 31, 2025 | | December 31, 2024 | Amortizable intangible assets | | | | | Non-compete agreements | | 5,211 | | 9,156 | Technology | | 243,740 | | 328,149 | Licenses and distribution agreements | | 1,087 | | 7,958 | Customer relationships | | 31,056 | | 42,248 | Intangible assets under construction | | 236,420 | | 417,861 | Internally developed intangibles | | 406,866 | | 181,418 | Other | | 75,125 | | 92,508 | | | 999,505 | | 1,079,298 | Non-amortizable intangible assets | | | | | Trade names | | 223,152 | | 252,386 | Management contracts | | 958 | | 1,042 | Emission certificates | | 30,874 | | 37,354 | | | 254,984 | | 290,782 | | | | | | Intangible assets | | 1,254,489 | | 1,370,080 | | | | | | Goodwill | | 13,571,394 | | 15,170,652 |
The amortization of intangible assets amounted to €141,223, €137,184, and €152,333 for the years ended December 31, 2025, 2024, and 2023, respectively. These expenses are allocated within costs of revenue, selling, general and administrative, and R&D expenses depending upon the area in which the asset is used. The Company capitalized development costs of €134,644 in 2025 (€91,066 in 2024), which is included in the line items Internally developed intangibles and Intangible assets under construction in the schedule above and is primarily comprised of healthcare product and IT software development. Goodwill and intangible assets with indefinite useful lives The decrease in the carrying amount of goodwill during 2025 is mainly a result of the impact of foreign currency translations. The carrying amount of goodwill and intangibles with indefinite useful lives is allocated to the groups of CGUs at December 31, 2025 and 2024: Allocation of the carrying amount to the groups of CGUs in € K | | | | | | | | | | | | | | | Care Delivery | | Care Enablement | | Value-Based Care | | | 2025 | | 2024 | | 2025 | | 2024 | | 2025 | | 2024 | | | | | | | | | | | | | | Goodwill | | 11,212,997 | | 13,014,925 | | 1,989,734 | | 2,155,727 | | 368,663 | | n.a. | Management contracts with indefinite useful life | | 958 | | 1,043 | | — | | — | | — | | n.a. | Trade names with indefinite useful life | | 171,492 | | 208,204 | | 39,064 | | 44,181 | | 12,596 | | n.a. | Emission certificates | | — | | — | | 30,874 | | 37,354 | | — | | n.a. |
The Company did not record any impairment losses related to goodwill in 2025 and 2024 after comparing the value in use to the respective carrying amount for the Care Delivery, Care Enablement, and Value-Based Care groups of CGUs. See note 29 for a further discussion on our operating segments.
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