XML 34 R28.htm IDEA: XBRL DOCUMENT v3.22.2.2
Intangible assets (Tables)
9 Months Ended
Sep. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Finite-Lived Intangible Assets
Intangible assets, net consisted of the following:
Nine Months EndedYear Ended
September 30, 2022December 31, 2021
Cost(in thousands)
Customer relationships$4,072,988 $4,056,642 
Order backlog535,557 528,022 
Trade names & brands204,536 204,685 
Patient database170,049 170,525 
Technology assets120,283 121,507 
Total cost5,103,413 5,081,381 
Accumulated amortization(711,714)(370,538)
 Net book value$4,391,699 $4,710,843