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Goodwill and Intangible Assets
12 Months Ended
Dec. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets
 
8.
Goodwill and Intangible Assets:
Goodwill was $1.48 billion at December 31, 2020 and 2019. Goodwill is tested for impairment on at least an annual basis, in accordance with the subsequent measurement provisions of the accounting guidance for goodwill. Consistent with prior years, the Company performed its annual impairment test in the third quarter of 2020 and determined that goodwill was
not impaired.
Intangible assets, net, consist of the following (in thousands):
 
    
December 31, 2020
 
    
Gross
Carrying
Value
    
Accumulated
Amortization
    
Net
Carrying
Value
 
Physician and hospital agreements
   $ 107,246      $ (83,089    $ 24,157  
Other technology
     5,197        (2,712      2,485  
    
 
 
    
 
 
    
 
 
 
     $ 112,443      $ (85,801    $ 26,642  
    
 
 
    
 
 
    
 
 
 
 
    
December 31, 2019
 
    
Gross
Carrying
Value
    
Accumulated
Amortization
    
Net
Carrying
Value
 
Physician and hospital agreements
   $ 99,828      $ (73,506    $ 26,322  
O
ther technology
     3,682        (1,417      2,265  
    
 
 
    
 
 
    
 
 
 
     $ 103,510      $ (74,923    $ 28,587  
    
 
 
    
 
 
    
 
 
 
During the year ended December 31, 2020, the Company recorded intangible assets related to acquisitions totaling $1.3 million, consisting primarily of physician and hospital agreements. The weighted-average amortization period for these physician and hospital agreements is approximately seven years.
Amortization expense for intangible assets was $7.6 million, $7.3 million and $6.8 million for the years ended December 31, 2020, 2019 and 2018, respectively.
Amortization expense for existing intangible assets for the next five years is expected to be as follows (in thousands):
 
2021
   $ 7,117  
2022
     5,245  
2023
     4,264  
2024
     2,883  
2025
     1,966