| Goodwill and Intangible Assets |
Goodwill and Intangible Assets The changes in the carrying value of goodwill by segment are as follows (in thousands):
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Device Solutions (a) |
| Balance as of December 31, 2021 |
$ |
3,710 |
| Goodwill acquired |
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— |
| Balance as of December 31, 2022 |
3,710 |
| Goodwill acquired |
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— |
| Balance as of December 31, 2023 |
$ |
3,710 |
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(a) The Patient Services segment has no recorded goodwill. |
The carrying amount and accumulated amortization of intangible assets were as follows (in thousands):
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December 31, 2023 |
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December 31, 2022 |
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Gross Assets |
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Accumulated Amortization |
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Net |
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Gross Assets |
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Accumulated Amortization |
|
Net |
| Nonamortizable intangible assets |
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Trade names |
$ |
2,000 |
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$ |
— |
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$ |
2,000 |
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$ |
2,000 |
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$ |
— |
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$ |
2,000 |
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| Amortizable intangible assets |
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Trade names |
23 |
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(23) |
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— |
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23 |
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(23) |
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— |
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Physician and customer relationships |
38,834 |
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(34,295) |
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4,539 |
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38,834 |
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(33,594) |
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5,240 |
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| Unpatented technology |
943 |
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(393) |
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550 |
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943 |
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(258) |
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|
685 |
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| Non-competition agreements |
472 |
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(255) |
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217 |
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472 |
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(161) |
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311 |
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Software |
10,300 |
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(10,160) |
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140 |
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10,300 |
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(10,100) |
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200 |
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Total nonamortizable and amortizable intangible assets |
$ |
52,572 |
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$ |
(45,126) |
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$ |
7,446 |
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$ |
52,572 |
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$ |
(44,136) |
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$ |
8,436 |
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Amortization expense for intangible assets for the years ended December 31, 2023, 2022 and 2021 was $1.0 million, $2.5 million and $4.3 million, respectively, which was recorded in "amortization of intangibles expenses" for each period. Expected remaining annual amortization expense for the next five years for intangible assets recorded as of December 31, 2023 is as follows (in thousands):
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2024 |
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2025 |
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2026 |
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2027 |
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2028 |
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2029 and
thereafter |
Amortization expense |
$ |
990 |
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$ |
810 |
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$ |
525 |
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$ |
471 |
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$ |
348 |
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$ |
2,302 |
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