Quarterly report pursuant to Section 13 or 15(d)

Intangible Assets

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Intangible Assets
9 Months Ended
Sep. 30, 2023
Intangible Assets  
Intangible Assets
Note 7: Intangible Assets
Intangible assets, net consisted of the following:
September 30, 2023 December 31, 2022
Gross Carrying Amount Accumulated Amortization Net Carrying Amount Gross Carrying Amount Accumulated Amortization Net Carrying Amount
(in thousands)
Indefinite lived intangible assets:
Medical licenses $ 700  $ —  $ 700  $ 700  $ —  $ 700 
Definite lived intangible assets:
Customer relationships 684,000  (125,400) 558,600  684,000  (74,100) 609,900 
Trademarks 148,635  (27,866) 120,769  148,635  (16,704) 131,931 
Payor contracts 4,700  (823) 3,877  4,700  (470) 4,230 
Provider network 4,800  (871) 3,929  4,800  (511) 4,289 
Total $ 842,835  $ (154,960) $ 687,875  $ 842,835  $ (91,785) $ 751,050 
Amortization of intangible assets was $21.1 million for each of the three months ended September 30, 2023 and 2022 and $63.2 million and $63.4 million for the nine months ended September 30, 2023 and 2022, respectively.