Note 5—Goodwill and Intangible Assets, Net

At December 31, 2025 and 2024 we had goodwill of $1.2 billion, net of accumulated goodwill impairment of $307 million.

As of October 1, 2025, we performed our annual impairment test and there were no impairments of goodwill. No impairment of goodwill was recorded for the year ended December 31, 2025 within continuing operations.

Intangible assets subject to amortization, at December 31, 2025 and 2024 were as follows:

2025

2024

Customer

  ​ ​ ​

  ​ ​ ​

Other

  ​ ​ ​

Customer

  ​ ​ ​

  ​ ​ ​

Other

Relationships

Tradenames

 Intangibles

Relationships

Tradenames

Intangibles

Intangible assets, gross

$

132,300

$

143,000

$

38,000

$

132,300

$

143,000

$

38,000

Accumulated amortization

 

(76,472)

 

(71,081)

 

(29,282)

 

(24,326)

 

(56,437)

 

(22,481)

Intangible assets, net

$

55,828

$

71,919

$

8,718

$

107,974

$

86,563

$

15,519

Weighted average useful life

 

6 years

 

10 years

 

6 years

 

15 years

 

10 years

 

6 years

Amortization expense for intangible assets was $74 million, $40 million and $58 million for the years ended December 31, 2025, 2024, and 2023. The increase as compared to the prior year was driven by the remaining useful life for an intangible asset being modified as of June 30, 2025, as a result of a notice of a contract termination with a commercial Payor. The updated future intangible amortization is reflected in the table below.

As of December 31, 2025, based on the current carrying value of intangible assets subject to amortization and expected remaining useful life, estimated amortization expense were as follows:

Year

  ​ ​ ​

2026

$

68,122

2027

 

13,872

2028

 

11,953

2029

 

11,953

2030

 

11,953

Thereafter

18,612

Total future amortization

$

136,465

Historical Timeline

Fiscal YearFiled
2025Feb 20, 2026Showing above
2024Feb 28, 2025
2023Feb 20, 2024
2022Feb 28, 2023
2021Feb 23, 2022
2020Feb 24, 2021
2019Mar 4, 2020
2018Mar 6, 2019
2017Feb 23, 2018
2016Feb 17, 2017
2015Feb 25, 2016

About Goodwill & Intangibles Disclosures

Goodwill and intangible asset disclosures reveal the premium paid in acquisitions and how management assesses whether that premium retains its value. Since goodwill is no longer amortized under US GAAP, the annual impairment test is the only mechanism that adjusts carrying values downward — making the assumptions behind that test critically important for investors.

Key signals: a history of goodwill impairments suggests management consistently overpays for acquisitions. Watch the gap between reporting unit fair value and carrying amount — when fair value exceeds carrying amount by less than 10-20%, a small decline in business performance could trigger a write-down. For finite-lived intangibles, examine useful life assumptions across customer relationships, technology, and trade names; aggressive estimates inflate near-term earnings. Compare total intangibles-to-total-assets ratios against peers to assess acquisition dependency. Rising goodwill as a percentage of equity can signal balance sheet fragility.