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Goodwill & Intangible Assets
 9 Months Ended
Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill & Intangible Assets Goodwill & Intangible Assets
The changes in the carrying value of goodwill by segment for the nine months ended September 30, 2024 are as follows (in thousands):
 Device Solutions (a)
Balance as of December 31, 2023$3,710
Goodwill acquired—
Balance as of September 30, 2024$3,710
(a) The Patient Services segment had no recorded goodwill during the reported periods.
The carrying amount and accumulated amortization of intangible assets consisted of the following (in thousands):
 September 30, 2024December 31, 2023
 
Gross
Assets
Accumulated
Amortization
Net
Gross
Assets
Accumulated
Amortization
Net
Nonamortizable intangible assets      
Trade names$2,000$—$2,000$2,000$—$2,000
Amortizable intangible assets:
Trade names23(23)—23(23)—
Physician and customer relationships38,834(34,820)4,01438,834(34,295)4,539
Non-competition agreements472(326)146472(255)217
Unpatented technology943(494)449943(393)550
Software10,300(10,205)9510,300(10,160)140
 
Total nonamortizable and amortizable intangible assets$52,572$(45,868)$6,704$52,572$(45,126)$7,446
Amortization expense for both the three and nine months ended September 30, 2024 and 2023 was $0.2 million and $0.7 million, respectively. This expense 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 September 30, 2024 is as follows (in thousands):
 20242025202620272028
2029 and thereafter
Total
        
Amortization expense$248$810$525$471$348$2,302$4,704