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Goodwill and Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The changes in the carrying value of goodwill by segment are as follows (in thousands):
 DME Services (a)
Balance as of December 31, 2021$3,710
Goodwill acquired
Balance as of December 31, 2022$3,710
(a) The ITS segment has no recorded goodwill.
Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets
The carrying amount and accumulated amortization of intangible assets were as follows (in thousands):
December 31, 2022December 31, 2021
Gross AssetsAccumulated AmortizationNetGross AssetsAccumulated AmortizationNet
Nonamortizable intangible assets
Trade names
$2,000 $— $2,000 $2,000 $— $2,000 
Amortizable intangible assets
Trade names
23 (23)— 23 (23)— 
Physician and customer relationships
38,834 (33,594)5,240 38,834 (31,401)7,433 
Unpatented technology943 (258)685 943 (123)820 
Non-competition agreements472 (161)311 472 (67)405 
Software
10,300 (10,100)200 11,530 (11,258)272 
Total nonamortizable and amortizable intangible assets
$52,572 $(44,136)$8,436 $53,802 $(42,872)$10,930 
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense Expected remaining annual amortization expense for the next five years for intangible assets recorded as of December 31, 2022 is as follows (in thousands):
202320242025202620272028 and
thereafter
Amortization expense
$990 $990 $810 $525 $471 $2,650