A summary of changes to goodwill, by reportable segment, is as follows (in thousands):


	Goodwill
	Pharmacy Solutions		Provider Services			Total
Goodwill at January 1, 2026*	$	841,052	$	1,704,621		$	2,545,673
Measurement period adjustments		—		(12,056	)		(12,056	)
Foreign currency adjustments		—		(62	)		(62	)
Goodwill at March 31, 2026*	$	841,052	$	1,692,503		$	2,533,555

* For the periods presented, the carrying amount of goodwill is presented net of accumulated impairment losses of $40.9 million, which were incurred in fiscal year 2022.

Intangible assets are as follows (in thousands):


	March 31, 2026						December 31, 2025
	Gross		Accumulated Amortization		Net Carrying Value		Gross		Accumulated Amortization		Net Carrying Value		Life (Years)
Customer relationships	$	501,510	$	368,679	$	132,831	$	502,160	$	356,146	$	146,014	5-20
Trade names		318,768		160,123		158,645		318,768		154,601		164,167	2-20
Licenses		67,395		19,973		47,422		67,395		18,886		48,509	10-20
Doctor/payor network		4,260		3,768		492		5,650		4,987		663	5-8
Covenants not to compete		6,604		4,984		1,620		6,654		4,717		1,937	2-7
Other intangible assets		10,940		8,316		2,624		10,940		7,925		3,015	5-7
Total definite-lived assets	$	909,477	$	565,843	$	343,634	$	911,567	$	547,262	$	364,305
Licenses		193,250		—		193,250		193,250		—		193,250	Indefinite
Total intangible assets	$	1,102,727	$	565,843	$	536,884	$	1,104,817	$	547,262	$	557,555

Amortization expense for the three months ended March 31, 2026 and 2025 was $20.7 million and $23.4 million, respectively.