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Intangible Assets
 12 Months Ended
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible Assets Intangible AssetsAs discussed in Note 1, Organization and Business, we deconsolidated Glocal during the three months ended September 30, 2022; therefore, the financial results of Glocal as of December 31, 2021, the period from March 26, 2021 to December 31, 2021, and the period from January 1, 2022 to June 30, 2022 are included in our consolidated financial statements, and the
financial results of Glocal as of December 31, 2022 and for the period from July 1, 2022 to December 31, 2022 are not included in our consolidated financial statements.
The changes in carrying amounts of intangible assets consisted of the following:

(In thousands)Trade NamesTechnology and Intellectual PropertyCustomer RelationshipsLeaseTotal
Balance as of December 31, 2020$7,065 $10,705 $10,012 $— $27,782 
Additions25,025 51,865 23,000 790 100,680 
Amortization(2,584)(7,251)(2,400)(116)(12,351)
Foreign exchange— (798)— — (798)
Balance as of December 31, 202129,506 54,521 30,612 674 115,313 
Additions— 7,250 — — 7,250 
Amortization(3,003)(7,711)(3,146)(167)(14,027)
Impairments(5,428)(6,009)(6,191)— (17,628)
Deconsolidation of equity investment— (34,449)— — (34,449)
Intangible assets, net reclassified to assets held for sale (see Note 4)(9,080)(5,718)(7,758)(507)(23,063)
Foreign exchange— (2,034)— — (2,034)
Balance as of December 31, 2022$11,995 $5,850 $13,517 $— $31,362 
Impairment charges of $17.6 million were recognized for the year ended December 31, 2022 related to our Thrasys, BHS and TTC business units. No impairment charge was recognized for the year ended December 31, 2021.
As discussed in Note 4, Assets and Liabilities Held for Sale, $23.1 million of intangible assets are included in assets held for sale, noncurrent, in the consolidated balance sheets as of December 31, 2022.

The estimated useful lives of trade names are 3-10 years, the estimated useful life of technology and intellectual property is 5-7 years, and the estimated useful life of customer relationships is 10 years.
Amortization expense was $14.0 million and $12.4 million for the years ended December 31, 2022 and 2021, respectively.
The estimated amortization expense related to definite-lived intangible assets for the five succeeding years is as follows: 
(In thousands)Trade Name AmortizationTechnology and Intellectual Property AmortizationCustomer Relationships AmortizationTotal
2023$983 $1,532 $1,616 $4,131 
2024983 1,532 1,616 4,131 
2025983 1,532 1,616 4,131 
2026983 890 1,616 3,489 
2027983 364 1,616 2,963 
Thereafter7,080 — 5,437 12,517 
$11,995 $5,850 $13,517 $31,362