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Goodwill and Intangible Assets (Tables) | 6 Months Ended
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Jun. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Goodwill | The following table summarizes the carrying amounts of goodwill by segment at June 30, 2023 and December 31, 2022 (in thousands):
|  | June 30, 2023 |  | December 31, 2022
Clinical Services |  | $ | 458,782 |  |  | $ | 458,782 |
Advanced Diagnostics |  | 63,984 |  |  | 63,984 |
Total |  | $ | 522,766 |  |  | $ | 522,766 |
Schedule of Classes of Intangible Assets | Intangible assets consisted of the following (in thousands):
|  |  |  | June 30, 2023
|  | Amortization Period (years) |  | Cost |  | Accumulated Amortization |  | Net
Customer Relationships |  | 7 - 15 |  | $ | 143,101 |  |  | $ | 60,590 |  |  | $ | 82,511 |
Developed Technology |  | 10 - 15 |  | 310,226 |  |  | 43,778 |  |  | 266,448 |
Marketing Assets |  | 4 |  | 549 |  |  | 307 |  |  | 242 |
Trademarks |  | 15 |  | 31,473 |  |  | 4,272 |  |  | 27,201 |
Trade Name |  | 2.5 |  | 2,584 |  |  | 1,740 |  |  | 844 |
Trademark - Indefinite lived |  | — |  | 13,447 |  |  | — |  |  | 13,447 |
Total |  |  |  | $ | 501,380 |  |  | $ | 110,687 |  |  | $ | 390,693 |
|  |  |  | 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 and six months ended June 30, 2023 and 2022 (in thousands):
|  | Three Months Ended June 30, |  | Six Months Ended June 30,
|  | 2023 |  | 2022 |  | 2023 |  | 2022
Amortization of intangibles included in cost of revenue |  | $ | 4,853 |  |  | $ | 4,853 |  |  | $ | 9,706 |  |  | $ | 9,706 |
Amortization of intangibles included in general and administrative expenses |  | 3,930 |  |  | 3,637 |  | 7,860 |  | 7,273
Total amortization of intangibles |  | $ | 8,783 |  |  | $ | 8,490 |  |  | $ | 17,566 |  |  | $ | 16,979 |
Schedule of Estimated Amortization Expense | The estimated amortization expense related to amortizable intangible assets for each of the following periods as of June 30, 2023 is as follows (in thousands):
Remainder of 2023 | $ | 17,566 |
2024 | 33,447 |
2025 | 33,343 |
2026 | 33,308 |
2027 | 32,758 |
Thereafter | 226,824 |
Total | $ | 377,246 |

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