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Goodwill and Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Goodwill | The following table summarizes the changes in the carrying amount of goodwill by segment as of December 31, 2021 and 2020 (in thousands):
| Clinical Services |  | Pharma Services |  | Total
Balance at December 31, 2020 | $ | 179,534 |  |  | $ | 31,549 |  |  | $ | 211,083 |
Goodwill acquired - Trapelo | 44,664 |  |  | — |  |  | 44,664 |
Goodwill acquired - Inivata | 238,405 |  |  | 32,963 |  |  | 271,368 |
Balance at December 31, 2021 | $ | 462,603 |  |  | $ | 64,512 |  |  | $ | 527,115 |
Schedule of Intangible Assets and Goodwill | Intangible assets consisted of the following as of December 31, 2021 and 2020 (in thousands):
|  |  | 2021
| Amortization Period (years) |  | Cost |  | Accumulated Amortization |  | Net
Customer Relationships | 7-15 |  | $ | 143,101 |  |  | $ | 45,756 |  |  | $ | 97,345 |
Developed Technology | 10-15 |  | 310,226 |  |  | 11,798 |  |  | 298,428 |
Marketing Assets | 4 |  | 549 |  |  | 100 |  |  | 449 |
Trademarks | 15 |  | 31,473 |  |  | 1,125 |  |  | 30,348 |
Trade Name | 5 |  | 2,584 |  |  | 276 |  |  | 2,308 |
Trademark - Indefinite lived | — |  | 13,447 |  |  | — |  |  | 13,447 |
Total |  |  | $ | 501,380 |  |  | $ | 59,055 |  |  | $ | 442,325 |
|  |  | 2020
| Amortization Period (years) |  | Cost |  | Accumulated Amortization |  | Net
Customer Relationships | 7-15 |  | $ | 143,101 |  |  | $ | 35,895 |  |  | $ | 107,206 |
Trademark - Indefinite lived | — |  | 13,447 |  |  | — |  |  | 13,447 |
Total |  |  | $ | 156,548 |  |  | $ | 35,895 |  |  | $ | 120,653 |
Finite-lived Intangible Assets Amortization Expense | For the years ended December 31, 2021, 2020, and 2019, amortization on the Consolidated Statements of Operations was recorded as follows (in thousands):
| 2021 |  | 2020 |  | 2019
Amortization recorded in: |  |  |  |  |
Cost of revenue | $ | 10,407 |  |  | $ | — |  |  | $ | — |
General and administrative | 12,753 |  |  | 9,817 |  |  | 9,925 |
Total amortization | $ | 23,160 |  |  | $ | 9,817 |  |  | $ | 9,925 |
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense | As of December 31, 2021, the estimated amortization expense related to amortizable intangible assets for each of the five following years and thereafter is as follows (in thousands):
2022 |  | $ | 33,899 |
2023 |  | 33,899 |
2024 |  | 33,899 |
2025 |  | 33,798 |
2026 |  | 33,485 |
Thereafter |  | 259,898 |
Total |  | $ | 428,878 |

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