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Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Finite-Lived Intangible Assets |
| December 31, 2021 | December 31, 2020
Cost | (in thousands)
Customer relationships | $ | 4,056,642 |  | $ | 144,251 |
Order backlog | 528,022 |  | 39,269 |
Trade names & brands | 204,685 |  | 2,766 |
Patient database | 170,525 |  | 2,552 |
Technology assets | 121,507 |  | 11,173 |
Total cost | 5,081,381 |  | 200,011 |
Accumulated amortization | (370,538) |  | (133,551) |
Net book value | $ | 4,710,843 |  | $ | 66,460 |
Schedule of Future Intangible Asset Amortization Expense | Future intangible asset amortization expense for the years ended December 31, 2022 to December 31, 2026 is as follows:
| Year Ended December 31, 2021
| (in thousands)
2022 | $ | 456,973 |
2023 | 454,235 |
2024 | 338,463 |
2025 | 222,191 |
2026 | 208,175 |
| $ | 1,680,037 |

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- Definition Tabular disclosure of assets, excluding financial assets and goodwill, lacking physical substance with a finite life, by either major class or business segment. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16265-109275 + Details
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- Definition Tabular disclosure of the amount of amortization expense expected to be recorded in succeeding fiscal years for finite-lived intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 + Details
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