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Intangible Assets
 9 Months Ended
Sep. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible Assets Intangible Assets
As discussed in Note 1. Organization and Business, we deconsolidated UpHealth Holdings as of September 30, 2023; accordingly, the financial position of UpHealth Holdings as of December 31, 2022 and financial results of UpHealth Holdings in the three and nine months ended September 30, 2023 are included in our unaudited condensed consolidated financial statements and the financial position of UpHealth Holdings as of September 30, 2023 is not included in our unaudited condensed consolidated financial statements. The filing of a voluntary petition for relief under Chapter 11 of the U.S. Bankruptcy Code, as discussed in Note 1. Organization and Business, occurred on September 19, 2023. Management concluded that it would use the September 30, 2023 date for deconsolidation, as the last 12 days in the month were determined to not be material.
As also discussed in Note 1. Organization and Business, we deconsolidated Glocal as of July 1, 2022; accordingly, the financial results of Glocal in the six months ended June 30, 2022 are included in our unaudited condensed consolidated financial statements, and the financial position of Glocal as of September 30, 2023 and December 31, 2022 and the financial results of Glocal in the three months ended September 30, 2022 and the three and nine months ended September 30, 2023 are not included in our unaudited condensed consolidated financial statements.
The following table summarizes the gross carrying amount and accumulated amortization for intangible assets as of September 30, 2023:

(In thousands)Trade NamesTechnology and Intellectual PropertyCustomer RelationshipsTotal
Gross carrying amount as of September 30, 2023$12,975 $5,825 $13,675 $32,475 
Accumulated amortization(2,995)(2,641)(3,156)(8,792)
Intangible assets, net as of September 30, 2023$9,980 $3,184 $10,519 $23,683 

The following table summarizes the gross carrying amount and accumulated amortization for intangible assets as of December 31, 2022:

(In thousands)Trade NamesTechnology and Intellectual PropertyCustomer RelationshipsTotal
Gross carrying amount as of December 31, 2022$15,242 $10,634 $17,613 $43,489 
Accumulated amortization(3,295)(4,762)(4,070)(12,127)
Intangible assets, net as of December 31, 2022$11,947 $5,872 $13,543 $31,362 

In the three and nine months ended September 30, 2023, we recorded an impairment charge of $4.2 million in the Integrated Care Management segment. In the three months ended September 30, 2022, we recorded impairment charges of $16.9 million, consisting of $16.8 million in our Integrated Care Management segment and $0.1 million in our Services segment. In the nine months ended September 30, 2022, we recorded impairment charges of $17.6 million, consisting of $16.8 million in our Integrated Care Management segment and $0.8 million in our Services segment.
The estimated useful lives of trade names are 3-10 years, the estimated useful lives of technology and intellectual property are 5-7 years, and the estimated useful life of customer relationships is 10 years.
Amortization expense was $1.2 million and $2.7 million in the three months ended September 30, 2023 and 2022, respectively. Amortization expense was $3.5 million and $12.0 million in the nine months ended September 30, 2023 and 2022, 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
Remaining 2023$364 $286 $345 $995 
20241,298 1,165 1,368 3,831 
20251,298 1,165 1,368 3,831 
20261,298 568 1,368 3,234 
20271,298 — 1,368 2,666 
Thereafter4,424 — 4,702 9,126 
$9,980 $3,184 $10,519 $23,683