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Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Finite-Lived Intangible Assets
Estimated Useful Life
Customer relationships
8 - 23 years
Order backlog
       3 - 5 years
Trade names3 years
Patient database7 years
Technology assets5 years
The carrying amount of Intangible Assets for the years ended December 31, 2024 and 2023 is as follows:
December 31, 2024December 31, 2023
Cost(in thousands)
Customer relationships$4,129,501 $4,090,393 
Order backlog543,933 541,302 
Trade names & brands204,588 204,653 
Patient database170,324 170,366 
Technology assets150,658 141,257 
Total cost5,199,004 5,147,971 
Accumulated amortization(1,639,212)(1,292,106)
Net book value$3,559,792 $3,855,865 
Schedule of Future Intangible Asset Amortization Expense
Future intangible asset amortization expense for the years ended December 31, 2025 to December 31, 2029 is as follows:
(in thousands)
2025$235,011 
2026220,771 
2027208,448 
2028195,447 
2029180,201 
Total$1,039,878