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Goodwill and Intangible Assets, Net
9 Months Ended
Sep. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets, Net Goodwill and Intangible Assets, Net
Goodwill

Goodwill has an estimated indefinite life and is not amortized; rather, it is reviewed for impairment at least annually or whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable.

The Company has three reporting units, each with discrete financial information. Our assets and liabilities are employed in and relate to the operations of our reporting units. Therefore, the equity carrying value and future cash flows must be estimated each time a goodwill impairment analysis is performed on a reporting unit. As a result, our assets, liabilities and cash flows are assigned to reporting units using reasonable and consistent allocation methodologies.
Our annual goodwill impairment review occurs on October 31 of each fiscal year. We evaluate qualitative factors that could cause us to believe the estimated fair value of each of our reporting units may be lower than the carrying value and trigger a quantitative assessment, including, but not limited to (i) macroeconomic conditions, (ii) industry and market considerations, (iii) our overall financial performance, including an analysis of our current and projected cash flows, revenues and earnings, (iv) a sustained decrease in share price and (v) other relevant entity-specific events including changes in management, strategy, partners, or litigation.

We did not identify any qualitative factors that would trigger a quantitative goodwill impairment test during the three and nine months ended September 30, 2022. We will perform our annual impairment test on October 31, 2022.

2021 Goodwill Impairment Test

On October 31, 2021, the Company performed its annual goodwill impairment review for fiscal year 2021. Based on our qualitative assessment, we did not identify sufficient indicators of impairment that would suggest the fair value of any of our three reporting units was below their respective carrying values. As a result, a quantitative goodwill impairment analysis was not required.

Change in Goodwill

The following table summarizes the changes in the carrying amount of goodwill, by reportable segment, for the periods presented (in thousands):
EHSClinical SolutionsConsolidated
Balance as of December 31, 2021(1)
$214,334 $211,963 $426,297 
Goodwill acquired(2)
— 296,597 296,597 
Foreign currency translation(104)— (104)
Balance as of September 30, 2022$214,230 $508,560 $722,790 
Balance as of December 31, 2020(1)
$214,354 $134,675 $349,029 
Foreign currency translation(19)— (19)
Balance as of September 30, 2021$214,335 $134,675 $349,010 
————————
(1)Net of cumulative inception to date impairment of $575.5 million as of both December 31, 2021 and 2020.
(2)Goodwill acquired from the addition of IPG in the third quarter of 2022.
Intangible Assets, Net

Details of our intangible assets (in thousands, except weighted-average useful lives) as of September 30, 2022 and December 31, 2021 are presented below:

September 30, 2022December 31, 2021
  Weighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying ValueWeighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Value
Corporate trade name13.0$43,600 $9,847 $33,753 12.4$25,800 $7,693 $18,107 
Customer relationships16.0465,019 86,623 378,396 14.9311,019 72,697 238,322 
Technology2.9111,822 78,648 33,174 2.087,922 73,378 14,544 
Below market lease, net0.61,218 1,100 118 1.31,218 950 268 
Provider network contracts (1)
1.516,553 10,596 5,957 2.216,417 7,874 8,543 
Total intangible assets, net$638,212 $186,814 $451,398 $442,376 $162,592 $279,784 

Amortization expense related to intangible assets was $9.5 million and $24.3 million for the three and nine months ended September 30, 2022, respectively, and $7.4 million and $22.1 million for the three and nine months ended September 30, 2021, respectively.

Future estimated amortization of intangible assets (in thousands) as of September 30, 2022, is as follows:

2022$10,620 
202340,487 
202434,603 
202533,057 
202632,880 
Thereafter299,751 
Total future amortization of intangible assets$451,398 

Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the assets’ carrying value. We did not identify any circumstances during the three and nine months ended September 30, 2022, that would require an impairment test for our intangible assets.