| Goodwill and Other Intangible Assets |
Goodwill and Other Intangible Assets Other intangible assets consisted of the following (in thousands): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | June 30, 2026 | | December 31, 2025 | | Weighted-average amortization period | Gross Carrying Amount | | Accumulated
Amortization | | Net Carrying Value | | Gross Carrying Amount | | Accumulated
Amortization | | Net Carrying Value | | Client relationships | 15 years | $ | 4,199,517 | | | $ | (2,791,701) | | | $ | 1,407,816 | | | $ | 4,199,517 | | | $ | (2,651,110) | | | $ | 1,548,407 | | | Provider network | 15 years | 896,800 | | | (601,852) | | | 294,948 | | | 896,800 | | | (571,959) | | | 324,841 | | | Technology | 6 years | 21,850 | | | (13,320) | | | 8,530 | | | 21,850 | | | (12,213) | | | 9,637 | | | Trade names | 9 years | 2,670 | | | (1,546) | | | 1,124 | | | 2,670 | | | (1,421) | | | 1,249 | | | | | | | | | | | | | | | | Non-compete | 5 years | 1,000 | | | (630) | | | 370 | | | 1,000 | | | (530) | | | 470 | | | Total | | $ | 5,121,837 | | | $ | (3,409,049) | | | $ | 1,712,788 | | | $ | 5,121,837 | | | $ | (3,237,233) | | | $ | 1,884,604 | |
Goodwill was as follows (in thousands): | | | | | | | | | | | | | June 30, 2026 | | December 31, 2025 | | Gross goodwill | $ | 4,489,636 | | | $ | 4,489,636 | | | Accumulated impairment | (2,083,783) | | | (2,083,783) | | | Total goodwill | $ | 2,405,853 | | | $ | 2,405,853 | |
No impairment loss related to goodwill was recorded during the three and six months ended June 30, 2026 and 2025.
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