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Goodwill and Intangible Assets (Tables) | 9 Months Ended
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Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Goodwill | The following table summarizes the carrying amounts of goodwill by segment at September 30, 2024 and December 31, 2023 (in thousands):
|  | September 30, 2024 |  | December 31, 2023
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):
|  |  |  | September 30, 2024
|  | Amortization Period (years) |  | Cost |  | Accumulated Amortization |  | Net
Customer Relationships |  | 7 - 15 |  | $ | 143,101 |  |  | $ | 72,951 |  |  | $ | 70,150 |
Developed Technology |  | 10 - 15 |  | 310,226 |  |  | 70,428 |  |  | 239,798 |
Marketing Assets |  | 4 |  | 549 |  |  | 480 |  |  | 69 |
Trademarks |  | 15 |  | 31,473 |  |  | 6,895 |  |  | 24,578 |
Trade Name |  | 2.5 |  | 2,584 |  |  | 2,584 |  |  | — |
Trademark - Indefinite lived |  | — |  | 13,447 |  |  | — |  |  | 13,447 |
Total |  |  |  | $ | 501,380 |  |  | $ | 153,338 |  |  | $ | 348,042 |
|  |  |  | December 31, 2023
|  | Amortization Period (years) |  | Cost |  | Accumulated Amortization |  | Net
Customer Relationships |  | 7 - 15 |  | $ | 143,101 |  |  | $ | 65,534 |  |  | $ | 77,567 |
Developed Technology |  | 10 - 15 |  | 310,226 |  |  | 54,438 |  |  | 255,788 |
Marketing Assets |  | 4 |  | 549 |  |  | 376 |  |  | 173 |
Trademarks |  | 15 |  | 31,473 |  |  | 5,321 |  |  | 26,152 |
Trade Name |  | 2.5 |  | 2,584 |  |  | 2,583 |  |  | 1 |
Trademark - Indefinite lived |  | — |  | 13,447 |  |  | — |  |  | 13,447 |
Total |  |  |  | $ | 501,380 |  |  | $ | 128,252 |  |  | $ | 373,128 |
Schedule of Intangible Asset Amortization Expense | The following table summarizes the amortization expense for the three and nine months ended September 30, 2024 and 2023 (in thousands):
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
|  | 2024 |  | 2023 |  | 2024 |  | 2023
Amortization of intangibles included in cost of revenue |  | $ | 4,910 |  |  | $ | 4,853 |  |  | $ | 14,729 |  |  | $ | 14,560 |
Amortization of intangibles included in general and administrative expenses |  | 3,452 |  |  | 3,931 |  | 10,356 |  | 11,790
Total amortization of intangibles |  | $ | 8,362 |  |  | $ | 8,784 |  |  | $ | 25,085 |  |  | $ | 26,350 |
Schedule of Estimated Amortization Expense | The estimated amortization expense related to amortizable intangible assets for each of the following periods as of September 30, 2024 is as follows (in thousands):
Remainder of 2024 | $ | 8,362 |
2025 | 33,343 |
2026 | 33,308 |
2027 | 32,758 |
2028 | 32,758 |
Thereafter | 194,066 |
Total | $ | 334,595 |

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