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Intangible Assets (Tables)

12 Months Ended

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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- References

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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
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-Section 50
-Paragraph 1
-Subparagraph (a)
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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

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