Goodwill and Intangible Assets, Net
Goodwill

The changes in the carrying value of goodwill for the periods presented are as follows (in thousands):

Carrying
Value
Balance at December 31, 2023$110,881 
Addition from acquisitions1,847 
Balance at December 31, 2024112,728 
Addition from acquisitions165,344 
Foreign currency translation adjustments253 
Balance at December 31, 2025$278,325 

Intangible assets, net

Intangible assets, net as of December 31, 2025 consist of the following (in thousands):

Gross
Amount
Accumulated Amortization and ImpairmentNet
Carrying
Value
Weighted
Average
Remaining
Useful Life
(Years)
Platform partnerships$99,964 $(4,165)$95,799 11.5
Trade names33,031 (14,951)18,080 2.3
503B pharmacy license28,596 (3,813)24,783 8.7
Other69,208 (11,754)57,454 3.1
Intangible assets, net$230,799 $(34,683)$196,116 7.8

Intangible assets, net as of December 31, 2024 consist of the following (in thousands):

Gross
Amount
Accumulated Amortization and ImpairmentNet
Carrying
Value
Weighted
Average
Remaining
Useful Life
(Years)
503B pharmacy license$28,596 $(953)$27,643 9.7
Trade names24,170 (9,256)14,914 6.5
Other4,786 (3,933)853 6.0
Intangible assets, net$57,552 $(14,142)$43,410 8.5

Amortization expense for intangible assets was $23.7 million, $3.8 million, and $3.5 million for the years ended December 31, 2025, 2024, and 2023, respectively. There were no impairment charges for the years ended December 31, 2025, 2024, and 2023.
Amortization that will be charged to expense over the remaining life of the intangible assets subsequent to December 31, 2025 is as follows (in thousands):

2026$40,952
202737,394
202823,262
202916,064
203013,667
2031 and thereafter64,777
$196,116

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.