| Summary of Changes to Goodwill, by Reportable Segment |
A summary of changes to goodwill, by reportable segment, is as follows (in thousands):
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Goodwill |
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|
|
Pharmacy Solutions |
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|
Provider Services |
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|
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.
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| Schedule of Intangible Assets |
Intangible assets are as follows (in thousands):
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March 31, 2026 |
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|
December 31, 2025 |
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|
|
|
|
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 |
|
|
|
|