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Goodwill and Intangible Assets (Tables) | 3 Months Ended
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Mar. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Goodwill | The following table summarizes the carrying amounts of goodwill by segment at March 31, 2023 and December 31, 2022 (in thousands):
|  | March 31, 2023 |  | December 31, 2022
Clinical Services |  | $ | 458,782 |  |  | $ | 458,782 |
Pharma Services |  | 63,984 |  |  | 63,984 |
Total |  | $ | 522,766 |  |  | $ | 522,766 |
Schedule of Classes of Intangible Assets | Intangible assets consisted of the following (in thousands):
|  |  |  | March 31, 2023
|  | Amortization Period (years) |  | Cost |  | Accumulated Amortization |  | Net
Customer Relationships |  | 7 - 15 |  | $ | 143,101 |  |  | $ | 58,117 |  |  | $ | 84,984 |
Developed Technology |  | 10 - 15 |  | 310,226 |  |  | 38,447 |  |  | 271,779 |
Marketing Assets |  | 4 |  | 549 |  |  | 273 |  |  | 276 |
Trademarks |  | 15 |  | 31,473 |  |  | 3,748 |  |  | 27,725 |
Trade Name |  | 2.5 |  | 2,584 |  |  | 1,318 |  |  | 1,266 |
Trademark - Indefinite lived |  | — |  | 13,447 |  |  | — |  |  | 13,447 |
Total |  |  |  | $ | 501,380 |  |  | $ | 101,903 |  |  | $ | 399,477 |
|  |  |  | December 31, 2022
|  | Amortization Period (years) |  | Cost |  | Accumulated Amortization |  | Net
Customer Relationships |  | 7 - 15 |  | $ | 143,101 |  |  | $ | 55,645 |  |  | $ | 87,456 |
Developed Technology |  | 10 - 15 |  | 310,226 |  |  | 33,117 |  |  | 277,109 |
Marketing Assets |  | 4 |  | 549 |  |  | 238 |  |  | 311 |
Trademarks |  | 15 |  | 31,473 |  |  | 3,223 |  |  | 28,250 |
Trade Name |  | 2.5 |  | 2,584 |  |  | 897 |  |  | 1,687 |
Trademark - Indefinite lived |  | — |  | 13,447 |  |  | — |  |  | 13,447 |
Total |  |  |  | $ | 501,380 |  |  | $ | 93,120 |  |  | $ | 408,260 |
Schedule of Intangible Asset Amortization Expense | The following table summarizes the amortization expense for the three months ended March 31, 2023 and 2022 (in thousands):
|  | Three Months Ended March 31,
|  | 2023 |  | 2022
Amortization of intangibles included in cost of revenue |  | $ | 4,853 |  |  | $ | 4,853 |
Amortization of intangibles included in general and administrative expenses |  | 3,930 |  |  | 3,637 |
Total amortization of intangibles |  | $ | 8,783 |  |  | $ | 8,490 |
Schedule of Estimated Amortization Expense | The estimated amortization expense related to amortizable intangible assets for each of the following periods as of March 31, 2023 is as follows (in thousands):
Remainder of 2023 | $ | 26,350 |
2024 | 33,447 |
2025 | 33,343 |
2026 | 33,308 |
2027 | 32,758 |
Thereafter | 226,824 |
Total | $ | 386,030 |

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