7. GOODWILL AND INTANGIBLE ASSETS

 

The changes in the carrying amount of goodwill for the years ended  December 31, 2025 and 2024 are as follows (in thousands):

 

  

2025

 

Balance at January 1, 2025

 $191,220 

Acquisition of Virsys12

  6,108 

Acquisition of MissionCare

  19,613 

Effect of exchange rate changes

  577 

Balance at December 31, 2025

 $217,518 

 

  

2024

 

Balance at January 1, 2024

 $191,379 

Acquisition of TCPS

  690 

Acquisition of The Clinical Hub

  194 

Effect of exchange rate changes

  (1,043)

Balance at December 31, 2024

 $191,220 

 

Intangible assets other than goodwill that are considered to have finite useful lives include customer-related intangibles consisting of customer relationships, which are amortized over their estimated useful lives ranging from eight to eighteen years, and other intangible assets consisting of developed technology, non-competition agreements, and trade names, which are amortized over their estimated useful lives ranging from three to ten years. Amortization of intangible assets was $13.7 million, $13.4 million, and $14.9 million for the years ended December 31, 2025, 2024, and 2023, respectively.

 

Identifiable intangible assets are comprised of the following (in thousands):

 

  

As of December 31, 2025

  

As of December 31, 2024

 
  

Gross Amount

  

Accumulated Amortization

  

Net

  

Gross Amount

  

Accumulated Amortization

  

Net

 

Customer related

 $116,589  $(67,377) $49,212  $106,001  $(58,536) $47,465 

Developed Technology

  18,790   (5,411)  13,379   23,400   (17,307)  6,093 

Other

  4,066   (1,727)  2,339   4,465   (2,475)  1,990 

Total

 $139,445  $(74,515) $64,930  $133,866  $(78,318) $55,548 

 

The expected future annual amortization expense for the years ending December 31, is as follows (in thousands):

 

2026

 $13,650 

2027

  12,845 

2028

  9,631 

2029

  7,936 

2030

  6,245 

Thereafter

  14,623 

Total

 $64,930 

 

Historical Timeline

Fiscal YearFiled
2025Feb 27, 2026Showing above
2022Feb 28, 2023

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.