v3.26.1
Goodwill and Intangible Assets (Tables)
6 Months Ended
Jun. 30, 2026
Goodwill and Intangible Assets Disclosure [Abstract]  
Summary of Changes to Goodwill, by Reportable Segment

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

 

 

 

 

 

(10,289

)

 

 

(10,289

)

Foreign currency adjustments

 

 

 

 

 

(140

)

 

 

(140

)

Goodwill at June 30, 2026*

 

$

841,052

 

 

$

1,694,192

 

 

$

2,535,244

 

* 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.

Schedule of Intangible Assets

Intangible assets are as follows (in thousands):

 

 

June 30, 2026

 

 

December 31, 2025

 

 

 

 

Gross

 

 

Accumulated
Amortization

 

 

Net Carrying
Value

 

 

Gross

 

 

Accumulated
Amortization

 

 

Net Carrying
Value

 

 

Life
(Years)

Customer relationships

 

$

501,510

 

 

$

381,851

 

 

$

119,659

 

 

$

502,160

 

 

$

356,146

 

 

$

146,014

 

 

5-20

Trade names

 

 

318,768

 

 

 

165,644

 

 

 

153,124

 

 

 

318,768

 

 

 

154,601

 

 

 

164,167

 

 

2-20

Licenses

 

 

67,120

 

 

 

21,011

 

 

 

46,109

 

 

 

67,395

 

 

 

18,886

 

 

 

48,509

 

 

10-20

Doctor/payor network

 

 

3,300

 

 

 

2,922

 

 

 

378

 

 

 

5,650

 

 

 

4,987

 

 

 

663

 

 

5-8

Covenants not to compete

 

 

3,834

 

 

 

2,438

 

 

 

1,396

 

 

 

6,654

 

 

 

4,717

 

 

 

1,937

 

 

2-7

Other intangible assets

 

 

10,940

 

 

 

8,707

 

 

 

2,233

 

 

 

10,940

 

 

 

7,925

 

 

 

3,015

 

 

5-7

Total definite-lived assets

 

$

905,472

 

 

$

582,573

 

 

$

322,899

 

 

$

911,567

 

 

$

547,262

 

 

$

364,305

 

 

 

Licenses

 

 

191,525

 

 

 

 

 

 

191,525

 

 

 

193,250

 

 

 

 

 

 

193,250

 

 

Indefinite

Total intangible assets

 

$

1,096,997

 

 

$

582,573

 

 

$

514,424

 

 

$

1,104,817

 

 

$

547,262

 

 

$

557,555