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Goodwill and Intangible Assets (Tables)
9 Months Ended
Sep. 30, 2021
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill The following table summarizes the changes in the carrying amount of goodwill by segment for the nine months ended September 30, 2021 (in thousands):
Clinical ServicesPharma ServicesTotal
Balance as of December 31, 2020$179,534 $31,549 $211,083 
Trapelo acquisition44,664 — 44,664 
Inivata acquisition237,251 32,804 270,055 
Balance as of September 30, 2021$461,449 $64,353 $525,802 
Classes of Intangible Assets
Intangible assets consisted of the following (in thousands):
  September 30, 2021
 Amortization
Period
CostAccumulated
Amortization
Net
Customer Relationships
7 - 15 years
$143,101 $43,286 $99,815 
Developed Technology
10 - 15 years
310,226 6,469 303,757 
Marketing Assets
4 years
549 66 483 
Trademarks
15 years
31,473 601 30,872 
Trade Name
5 years
2,575 147 2,428 
Trademark - Indefinite lived— 13,447 — 13,447 
Total $501,371 $50,569 $450,802 
 
  December 31, 2020
 Amortization
Period
CostAccumulated
Amortization
Net
Customer Relationships
7 - 15 years
$143,101 $35,895 $107,206 
Trademark - Indefinite lived— 13,447 — 13,447 
Total$156,548 $35,895 $120,653 
Schedule of Intangible Asset Amortization Expense The following table summarizes the amortization expense for the three and nine months ended September 30, 2021 and 2020 (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Amortization of intangibles included in cost of revenue$4,825 $— $5,554 $— 
Amortization of intangibles included in general and administrative expenses3,649 2,4689,1297,387
Total amortization of intangibles$8,474 $2,468 $14,683 $7,387 
Estimated Amortization Expense
The estimated amortization expense related to amortizable intangible assets for each of the following periods as of September 30, 2021 is as follows (in thousands):
 
Remainder of 2021$8,457 
202233,899 
202333,899 
202433,899 
202533,798 
Thereafter293,403 
Total$437,355