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Intangible Assets
12 Months Ended
Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible Assets Intangible Assets
December 31, 2021December 31, 2020
Cost(in thousands)
Customer relationships$4,056,642 $144,251 
Order backlog528,022 39,269 
Trade names & brands204,685 2,766 
Patient database170,525 2,552 
Technology assets121,507 11,173 
Total cost5,081,381 200,011 
Accumulated amortization(370,538)(133,551)
 
Net book value
$4,710,843 $66,460 

On July 1, 2021, ICON plc announced the completion of its Merger with PRA Health Sciences, Inc. The Merger resulted in the recognition of Customer relationships of $3,915.0 million, Order backlog of $490.0 million, Trade names of $202.0 million, Patient database of $168.0 million and Technology assets of $111.0 million. These assets will be amortized over their expected useful lives of between 3 and 23 years. The valuation and useful lives of these assets remains provisional at December 31, 2021. In total, $223.5 million has been amortized in the period since the date of acquisition.

On January 22, 2020 a subsidiary of the Company, ICON Investments Limited acquired 100% of the equity share capital of the MedPass Group. MedPass is the leading European medical device CRO, regulatory and reimbursement consultancy, that specializes in medical device development and market access. The acquisition of MedPass further enhances ICON’s Medical Device and Diagnostic Research services, through the addition of new regulatory and clinical capabilities in Europe. On acquisition, certain customer relationships and order backlog identified, which were valued at $11.7 million and $2.9 million respectively, were recognized and are being amortized over approximately 13 years and 3 years, the estimated period of benefit. In total, $2.0 million has been amortized in the period to December 31, 2021 relating to the acquisition.

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 
2023454,235 
2024338,463 
2025222,191 
2026208,175 
 $1,680,037