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Goodwill and Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2022
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 three months ended March 31, 2022 (in thousands):
March 31, 2022December 31, 2021
Clinical Services$462,603 $462,603 
Pharma Services64,512 64,512 
Total $527,115 $527,115 
Classes of Intangible Assets
Intangible assets consisted of the following (in thousands):
  March 31, 2022
 Amortization
Period (years)
CostAccumulated
Amortization
Net
Customer Relationships
7 - 15
$143,101 $48,228 $94,873 
Developed Technology
10 - 15
310,226 17,127 293,099 
Marketing Assets
4
549 135 414 
Trademarks
15
31,473 1,649 29,824 
Trade Name
5
2,584 406 2,178 
Trademark - Indefinite lived13,447 — 13,447 
Total $501,380 $67,545 $433,835 
 
  December 31, 2021
 Amortization
Period (years)
CostAccumulated
Amortization
Net
Customer Relationships
7 - 15
$143,101 $45,756 $97,345 
Developed Technology
10 - 15
310,226 11,798 298,428 
Marketing Assets4549 100 449 
Trademarks1531,473 1,125 30,348 
Trade Name52,584 276 2,308 
Trademark - Indefinite lived13,447 — 13,447 
Total$501,380 $59,055 $442,325 
Schedule of Intangible Asset Amortization Expense The following table summarizes the amortization expense for the three months ended March 31, 2022 and 2021 (in thousands):
Three Months Ended March 31,
20222021
Amortization of intangibles included in cost of revenue$4,853 $— 
Amortization of intangibles included in general and administrative expenses3,637 2,458
Total amortization of intangibles$8,490 $2,458 
Estimated Amortization Expense
The estimated amortization expense related to amortizable intangible assets for each of the following periods as of March 31, 2022 is as follows (in thousands):
 
Remainder of 2022$25,389 
202333,899 
202433,899 
202533,798 
202633,485 
Thereafter259,918 
Total$420,388