| Intangible Assets |
Note 8: Intangible Assets
Intangible assets, net consisted of the following:
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December 31, |
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2025 |
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2024 |
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Gross Carrying
Amount |
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Accumulated
Amortization |
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Net Carrying
Amount |
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Gross Carrying
Amount |
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Accumulated
Amortization |
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Net Carrying
Amount |
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(in thousands) |
| Indefinite lived intangible assets: |
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| Medical licenses |
$ |
700 |
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$ |
— |
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$ |
700 |
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$ |
700 |
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$ |
— |
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$ |
700 |
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| Definite lived intangible assets: |
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| Customer relationships |
671,819 |
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(273,361) |
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398,458 |
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671,819 |
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(206,951) |
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464,868 |
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| Trademarks |
148,635 |
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(61,005) |
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87,630 |
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148,635 |
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(46,427) |
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102,208 |
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| Payor contracts |
4,700 |
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(1,880) |
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2,820 |
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4,700 |
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(1,410) |
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3,290 |
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| Provider network |
4,734 |
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(1,919) |
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2,815 |
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4,734 |
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(1,450) |
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3,284 |
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| Total |
$ |
830,588 |
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$ |
(338,165) |
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$ |
492,423 |
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$ |
830,588 |
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$ |
(256,238) |
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$ |
574,350 |
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