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Intangible Assets
 12 Months Ended
Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible Assets Intangible Assets
As discussed in Note 1, Organization and Business, we deconsolidated UpHealth Holdings and its subsidiaries as of September 30, 2023; accordingly, the financial position of UpHealth Holdings as of December 31, 2022 and financial results of UpHealth Holdings and its subsidiaries for the year ended December 31, 2022 and for the nine months ended September 30, 2023 are included in our consolidated financial statements and the financial position of UpHealth Holdings as of December 31, 2023 and the financial results of UpHealth Holdings and its subsidiaries for the three months ended December 31, 2023 are not included in our 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 discussed in Note 1, Organization and Business, we deconsolidated Glocal during the three months ended September 30, 2022; therefore, the financial results of Glocal in the six months ended June 30, 2022 are included in our consolidated financial statements, and the financial position of Glocal as of December 31, 2023 and 2022 and the financial results of Glocal in the six months ended December 31, 2022 and the year ended December 31, 2023 are not included in our consolidated financial statements.

The following table summarizes the gross carrying amount and accumulated amortization for intangible assets as of December 31, 2023:

(In thousands)Trade NamesTechnology and Intellectual PropertyCustomer RelationshipsTotal
Gross carrying amount as of December 31, 2023$12,975 $5,825 $13,675 $32,475 
Accumulated amortization(3,329)(2,928)(3,501)(9,758)
Intangible assets, net as of December 31, 2023$9,646 $2,897 $10,174 $22,717 

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(3,247)(4,784)(4,096)(12,127)
Intangible assets, net as of December 31, 2022$11,995 $5,850 $13,517 $31,362 

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, 2021$29,506 $54,521 $30,612 $674 $115,313 
Additions— 7,250 — — 7,250 
Amortization(3,003)(7,711)(3,147)(167)(14,028)
Impairments(5,428)(6,009)(6,190)— (17,627)
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, 202211,995 5,850 13,517 — 31,362 
Amortization(1,494)(1,403)(1,545)— (4,442)
Impairments(855)(1,550)(1,798)— (4,203)
Balance as of December 31, 2023$9,646 $2,897 $10,174 $— $22,717 
    
An impairment charge of $4.2 million was recognized for the year ended December 31, 2023 in the Integrated Care Management segment. For the year ended December 31, 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.

As of December 31, 2022, $23.1 million of intangible assets were included in assets held for sale, noncurrent, in the consolidated balance sheets. See Note 4, Assets and Liabilities Held for Sale, for further information.

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 $4.4 million and $14.0 million for the years ended December 31, 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
2024$1,359 $1,204 $1,403 $3,966 
20251,359 1,204 1,403 3,966 
20261,359 489 1,403 3,251 
20271,359 — 1,403 2,762 
20281,359 — 1,403 2,762 
Thereafter2,851 — 3,159 6,010 
$9,646 $2,897 $10,174 $22,717