Goodwill and Intangible Assets

9 Months Ended

Sep. 30, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill

The following table represents changes in the carrying amount of goodwill:


	December 31, 2020		Additions (1)	340B Link Business Measurement Period Adjustments (1)	Foreign currency exchange rate fluctuations	September 30, 2021

	(In thousands)
Goodwill	$	499,309	118,846	(849)	(919)	$	616,387

_________________________________________________

(1) Refer to Note 2, Business Combinations, for further information.

Intangible Assets, Net

The carrying amounts and useful lives of intangible assets as of September 30, 2021 and December 31, 2020 were as follows:


	September 30, 2021
	Gross carrying amount (1)		Accumulated amortization		Foreign currency exchange rate fluctuations		Net carrying amount		Useful life (years)

	(In thousands, except for years)
Customer relationships	$	247,389	$	(73,845)	$	(916)	$	172,628	10 - 30
Acquired technology	93,366		(52,631)		6		40,741		5 - 20

Trade names	9,400		(5,539)		14		3,875		1 - 12
Patents	2,890		(1,578)		—		1,312		2 - 20
Non-compete agreements	600		(200)		—		400		3

Total intangibles assets, net	$	353,645	$	(133,793)	$	(896)	$	218,956


	December 31, 2020
	Gross carrying amount (1)		Accumulated amortization		Foreign currency exchange rate fluctuations		Net carrying amount		Useful life (years)

	(In thousands, except for years)
Customer relationships	$	187,889	$	(64,254)	$	(777)	$	122,858	10 - 30
Acquired technology	86,029		(44,851)		6		41,184		5 - 20
Backlog	1,150		(1,078)		—		72		4
Trade names	7,850		(5,794)		14		2,070		1 - 12
Patents	2,930		(1,455)		2		1,477		2 - 20
Non-compete agreements	600		(50)		—		550		3

Total intangibles assets, net	$	286,448	$	(117,482)	$	(755)	$	168,211

_________________________________________________

(1) The differences in gross carrying amounts between periods are primarily due to additions of intangible assets in connection with the FDS Amplicare acquisition, partially offset by the write-off of certain fully amortized intangible assets.

Amortization expense of intangible assets was $6.3 million and $4.4 million for the three months ended September 30, 2021 and 2020, respectively, and $18.7 million and $13.3 million for the nine months ended September 30, 2021 and 2020, respectively.

The estimated future amortization expenses for amortizable intangible assets were as follows:


	September 30, 2021

	(In thousands)
Remaining three months of 2021	$	7,818
2022	28,772
2023	25,580
2024	18,462
2025	16,670
Thereafter	121,654
Total	$	218,956