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Intangible assets
6 Months Ended
Jun. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible assets Intangible assets
Intangible assets, net consisted of the following:
Six Months EndedYear Ended
June 30, 2022December 31, 2021
Cost(in thousands)
Customer relationships$4,076,062 $4,056,642 
Order backlog536,685 528,022 
Trade names & brands204,604 204,685 
Patient database170,274 170,525 
Technology assets120,840 121,507 
Total cost5,108,465 5,081,381 
Accumulated amortization(600,012)(370,538)
 Net book value$4,508,453 $4,710,843 
The identifiable intangible assets are amortized over their estimated useful lives.