Annual report pursuant to Section 13 and 15(d)

GOODWILL AND INTANGIBLE ASSETS ??? NET

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GOODWILL AND INTANGIBLE ASSETS – NET
12 Months Ended
Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
GOODWILL AND INTANGIBLE ASSETS – NET

3. GOODWILL AND INTANGIBLE ASSETS – NET

 

Goodwill consists of the excess of the purchase price over the fair value of identifiable net assets of businesses acquired. At December 31, 2023, and 2022, approximately $90,000 of goodwill was allocated to the Medical Practice Management segment and the balance was allocated to the Healthcare IT segment. The following is the summary of the changes to the carrying amount of goodwill for the years ended December 31, 2023 and 2022:

  

    2023     2022  
    Year Ended December 31,  
    2023     2022  
    ($ in thousands)  
Beginning gross balance   $ 61,186     $ 61,186  
Acquisitions     -       -  
Impairment charges     (42,000 )     -  
Ending gross balance   $ 19,186     $ 61,186  

 

As a result of a triggering event in December 2023 resulting from the suspension of the Preferred Stock dividend, the Company updated its annual goodwill impairment test that was performed as of October 31, 2023 for the Healthcare IT segment. It was determined that the fair value of the Healthcare IT reporting unit was less than the carrying value at both October 31 and as a result of the triggering event. Accordingly, impairment charges of approximately $2.0 million and $40.0 million, respectively, were recorded.

 

 

Below is a summary of intangible asset activity for the years ended December 31, 2023 and 2022:

  

    Customer     Capitalized     Other Intangible        
    Relationships     Software     Assets     Total  
  ($ in thousands)  
COST      
Balance, January 1, 2023   $ 47,597     $ 21,547     $ 9,651     $ 78,795  
Additions     -       8,548       2       8,550  
Translation loss     -       (716 )     -       (716 )
Balance, December 31, 2023   $ 47,597     $ 29,379     $ 9,653     $ 86,629  
Useful lives     3-12 years       3 years       3 years          
ACCUMULATED AMORTIZATION                                
Balance, January 1, 2023   $ 39,523     $ 4,932     $ 4,820     $ 49,275  
Amortization expense     4,849       7,426       126       12,401  
Translation loss     -       (121 )     -       (121 )
Balance, December 31, 2023     44,372       12,237       4,946       61,555  
Net book value   $ 3,225     $ 17,142     $ 4,707     $ 25,074  
                                 
COST                                
Balance, January 1, 2022   $ 47,597     $ 13,196     $ 9,632     $ 70,425  
Additions     -       9,160       19       9,179  
Translation loss     -       (809 )     -       (809 )
Balance, December 31, 2022   $ 47,597     $ 21,547     $ 9,651     $ 78,795  
Useful lives     3-12 years       3 years       3 years          
ACCUMULATED AMORTIZATION                                
Balance, January 1, 2022   $ 33,851     $ 1,591     $ 4,205     $ 39,647  
Amortization expense     5,672       3,485       615       9,772  
Translation loss     -       (144 )     -       (144 )
Balance, December 31, 2022     39,523       4,932       4,820       49,275  
Net book value   $ 8,074     $ 16,615     $ 4,831     $ 29,520  

 

As a result of a triggering event in December 2023, we also reviewed our other long term assets for impairment. We determined that the fair value of these assets exceeded their carrying value and that there was no impairment.

 

The amount for capitalized software represents payroll and development costs incurred for internally developed software. Other intangible assets primarily represent non-compete agreements, purchased and acquired software and trademarks. Amortization expense was approximately $12.4 million and $9.8 million for the years ended December 31, 2023 and 2022, respectively. The weighted-average amortization period is three years.

 

As of December 31, 2023, future amortization expense scheduled to be expensed is as follows:

 

Years ending December 31,   ($ in thousands)  
2024   $ 11,634  
2025     8,384  
2026     4,006  
2027     300  
2028     300  
Thereafter     450  
Total   $ 25,074