Goodwill and Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The following table summarizes the carrying amounts of goodwill by segment at March 31, 2023 and December 31, 2022 (in thousands):

	March 31, 2023		December 31, 2022
Clinical Services	$	458,782	$	458,782
Pharma Services	63,984		63,984
Total	$	522,766	$	522,766

Schedule of Classes of Intangible Assets

Intangible assets consisted of the following (in thousands):

		March 31, 2023
	Amortization Period (years)	Cost		Accumulated Amortization		Net
Customer Relationships	7 - 15	$	143,101	$	58,117	$	84,984
Developed Technology	10 - 15	310,226		38,447		271,779
Marketing Assets	4	549		273		276
Trademarks	15	31,473		3,748		27,725
Trade Name	2.5	2,584		1,318		1,266
Trademark - Indefinite lived	—	13,447		—		13,447
Total		$	501,380	$	101,903	$	399,477

 

		December 31, 2022
	Amortization Period (years)	Cost		Accumulated Amortization		Net
Customer Relationships	7 - 15	$	143,101	$	55,645	$	87,456
Developed Technology	10 - 15	310,226		33,117		277,109
Marketing Assets	4	549		238		311
Trademarks	15	31,473		3,223		28,250
Trade Name	2.5	2,584		897		1,687
Trademark - Indefinite lived	—	13,447		—		13,447
Total		$	501,380	$	93,120	$	408,260

Schedule of Intangible Asset Amortization Expense

The following table summarizes the amortization expense for the three months ended March 31, 2023 and 2022 (in thousands):

	Three Months Ended March 31,
	2023		2022
Amortization of intangibles included in cost of revenue	$	4,853	$	4,853
Amortization of intangibles included in general and administrative expenses	3,930		3,637
Total amortization of intangibles	$	8,783	$	8,490

Schedule of Estimated Amortization Expense

The estimated amortization expense related to amortizable intangible assets for each of the following periods as of March 31, 2023 is as follows (in thousands):

 

Remainder of 2023	$	26,350
2024	33,447
2025	33,343
2026	33,308
2027	32,758
Thereafter	226,824
Total	$	386,030