Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The following table summarizes the carrying amounts of goodwill by segment at September 30, 2023 and December 31, 2022 (in thousands):

	September 30, 2023		December 31, 2022
Clinical Services	$	458,782	$	458,782
Advanced Diagnostics	63,984		63,984
Total	$	522,766	$	522,766

Schedule of Classes of Intangible Assets

Intangible assets consisted of the following (in thousands):

		September 30, 2023
	Amortization Period (years)	Cost		Accumulated Amortization		Net
Customer Relationships	7 - 15	$	143,101	$	63,062	$	80,039
Developed Technology	10 - 15	310,226		49,108		261,118
Marketing Assets	4	549		342		207
Trademarks	15	31,473		4,797		26,676
Trade Name	2.5	2,584		2,161		423
Trademark - Indefinite lived	—	13,447		—		13,447
Total		$	501,380	$	119,470	$	381,910

 

		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 and nine months ended September 30, 2023 and 2022 (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Amortization of intangibles included in cost of revenue	$	4,853	$	4,853	$	14,560	$	14,559
Amortization of intangibles included in general and administrative expenses	3,931		3,637		11,790		10,911
Total amortization of intangibles	$	8,784	$	8,490	$	26,350	$	25,470

Schedule of Estimated Amortization Expense

The estimated amortization expense related to amortizable intangible assets for each of the following periods as of September 30, 2023 is as follows (in thousands):

 

Remainder of 2023	$	8,783
2024	33,447
2025	33,343
2026	33,308
2027	32,758
Thereafter	226,824
Total	$	368,463