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Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Finite-Lived Intangible Assets | Intangible assets are amortized on a straight-line basis over the expected useful life, as set forth in the table below:
| Estimated Useful Life
Customer relationships | 23 years
Order backlog | 3 years
Trade names | 3 years
Patient database | 7 years
Technology assets | 5 years
The carrying amount of Intangible Assets for the years ended December 31, 2022 and 2021 is as follows:
| December 31, 2022 | December 31, 2021
Cost | (in thousands)
Customer relationships | $ | 4,076,435 |  | $ | 4,056,642 |
Order backlog | 536,934 |  | 528,022 |
Trade names & brands | 204,621 |  | 204,685 |
Patient database | 170,238 |  | 170,525 |
Technology assets | 120,984 |  | 121,507 |
Total cost | 5,109,212 |  | 5,081,381 |
Accumulated amortization | (830,553) |  | (370,538) |
Net book value | $ | 4,278,659 |  | $ | 4,710,843 |
Schedule of Future Intangible Asset Amortization Expense | Future intangible asset amortization expense for the years ended December 31, 2023 to December 31, 2027 is as follows:
| Year Ended December 31, 2022
| (in thousands)
2023 | $ | 460,711 |
2024 | 339,940 |
2025 | 223,674 |
2026 | 209,681 |
2027 | 198,300 |
| $ | 1,432,306 |

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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 https://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 https://asc.fasb.org/extlink&oid=66006027&loc=d3e16265-109275 + Details
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