3. GOODWILL AND INTANGIBLE ASSETS – NET

 

Goodwill consists of the excess of the purchase price over the fair value of identifiable net assets of businesses acquired. At December 31, 2024, and 2023, approximately $90,000 of goodwill was allocated to the Medical Practice Management segment and the balance was allocated to the Healthcare IT segment. The following is the summary of the changes to the carrying amount of goodwill for the years ended December 31, 2024 and 2023:

 

   2024   2023 
   Year Ended December 31, 
   2024   2023 
   ($ in thousands) 
Beginning gross balance  $19,186   $61,186 
Impairment charges   -    (42,000)
Ending gross balance  $19,186   $19,186 

 

As a result of a triggering event in December 2023 resulting from the suspension of the Preferred Stock dividend, the Company updated its annual goodwill impairment test that was performed as of October 31, 2023 for the Healthcare IT segment. It was determined that the fair value of the Healthcare IT reporting unit was less than the carrying value at both October 31, 2023 and as a result of the December 2023 triggering event. Accordingly, impairment charges of approximately $2.0 million and $40.0 million, respectively, were recorded. There was no goodwill impairment recorded during the year ended December 31, 2024.

 

Below is a summary of intangible asset activity for the years ended December 31, 2024 and 2023:

 

   Customer   Capitalized   Other Intangible     
   Relationships   Software   Assets   Total 
   ($ in thousands) 
COST                    
Balance, January 1, 2024  $47,597   $29,379   $9,653   $86,629 
Additions   -    5,709    -    5,709 
Translation gain   -    20    -    20 
Balance, December 31, 2024  $47,597   $35,108   $9,653   $92,358 
Useful lives   3-12 years    3 years    3 years      
ACCUMULATED AMORTIZATION                    
Balance, January 1, 2024  $44,372   $12,237   $4,946   $61,555 
Amortization expense   1,575    10,522    1    12,098 
Translation gain   -    7    -    7 
Balance, December 31, 2024   45,947    22,766    4,947    73,660 
Net book value  $1,650   $12,342   $4,706   $18,698 
                     
COST                    
Balance, January 1, 2023  $47,597   $21,547   $9,651   $78,795 
Additions   -    8,548    2    8,550 
Translation loss   -    (716)   -    (716)
Balance, December 31, 2023  $47,597   $29,379   $9,653   $86,629 
Useful lives   3-12 years    3 years    3 years      
ACCUMULATED AMORTIZATION                    
Balance, January 1, 2023  $39,523   $4,932   $4,820   $49,275 
Amortization expense   4,849    7,426    126    12,401 
Translation loss   -    (121)   -    (121)
Balance, December 31, 2023   44,372    12,237    4,946    61,555 
Net book value  $3,225   $17,142   $4,707   $25,074 

 

As a result of a triggering event in December 2023, we also reviewed our other long term assets for impairment. We determined that the fair value of these assets exceeded their carrying value and that there was no impairment. There were no triggering events during the year ended December 31, 2024.

 

The amount for capitalized software represents payroll and development costs incurred for internally developed software. Other intangible assets primarily represent non-compete agreements, purchased and acquired software and trademarks. Amortization expense was approximately $12.1 million and $12.4 million for the years ended December 31, 2024 and 2023, respectively. The weighted-average amortization period is three years.

 

 

As of December 31, 2024, future amortization expense scheduled to be expensed is as follows:

 

Years ending December 31,  ($ in thousands) 
2025  $10,291 
2026   5,911 
2027   1,746 
2028   300 
2029   300 
Thereafter   150 
Total  $18,698 

 

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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.