Goodwill and Intangible Assets

3 Months Ended

Mar. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

The following table summarizes the carrying amounts of goodwill by segment at March 31, 2024 and December 31, 2023 (in thousands):


	March 31, 2024		December 31, 2023
Clinical Services	$	458,782	$	458,782
Advanced Diagnostics	63,984		63,984
Total	$	522,766	$	522,766

Intangible assets consisted of the following (in thousands):


		March 31, 2024
	Amortization Period (years)	Cost		Accumulated Amortization		Net


Customer Relationships	7 - 15	$	143,101	$	68,007	$	75,094
Developed Technology	10 - 15	310,226		59,768		250,458
Marketing Assets	4	549		411		138
Trademarks	15	31,473		5,846		25,627
Trade Name	2.5	2,584		2,584		—
Trademark - Indefinite lived	—	13,447		—		13,447
Total		$	501,380	$	136,616	$	364,764


		December 31, 2023
	Amortization Period (years)	Cost		Accumulated Amortization		Net
Customer Relationships	7 - 15	$	143,101	$	65,534	$	77,567
Developed Technology	10 - 15	310,226		54,438		255,788
Marketing Assets	4	549		376		173
Trademarks	15	31,473		5,321		26,152
Trade Name	2.5	2,584		2,583		1
Trademark - Indefinite lived	—	13,447		—		13,447
Total		$	501,380	$	128,252	$	373,128

The Company records amortization expense within cost of revenue and general and administrative expense on the Consolidated Statement of Operations. The following table summarizes the amortization expense for the three months ended March 31, 2024 and 2023 (in thousands):


	Three Months Ended March 31,
	2024		2023
Amortization of intangibles included in cost of revenue	$	4,910	$	4,853
Amortization of intangibles included in general and administrative expenses	3,452		3,930
Total amortization of intangibles	$	8,362	$	8,783

The estimated amortization expense related to amortizable intangible assets for each of the following periods as of March 31, 2024 is as follows (in thousands):


Remainder of 2024	$	25,085
2025	33,343
2026	33,308
2027	32,758
2028	32,758

Thereafter	194,065
Total	$	351,317