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Goodwill and Intangible Assets
9 Months Ended
Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets Goodwill and Intangible Assets
The following table summarizes the carrying amounts of goodwill by segment at September 30, 2024 and December 31, 2023 (in thousands):
September 30, 2024December 31, 2023
Clinical Services$458,782 $458,782 
Advanced Diagnostics63,984 63,984 
Total$522,766 $522,766 
Intangible assets consisted of the following (in thousands):
  September 30, 2024
 Amortization
Period (years)
CostAccumulated
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 lived13,447 — 13,447 
Total $501,380 $153,338 $348,042 
 
  December 31, 2023
 Amortization
Period (years)
CostAccumulated
Amortization
Net
Customer Relationships
7 - 15
$143,101 $65,534 $77,567 
Developed Technology
10 - 15
310,226 54,438 255,788 
Marketing Assets4549 376 173 
Trademarks1531,473 5,321 26,152 
Trade Name2.52,584 2,583 
Trademark - Indefinite lived13,447 — 13,447 
Total$501,380 $128,252 $373,128 
 
The Company records amortization expense within cost of revenue and general and administrative expense on the Consolidated Statement of Operations. 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,
2024202320242023
Amortization of intangibles included in cost of revenue$4,910 $4,853 $14,729 $14,560 
Amortization of intangibles included in general and administrative expenses3,452 3,93110,35611,790
Total amortization of intangibles$8,362 $8,784 $25,085 $26,350 
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 
202533,343 
202633,308 
202732,758 
202832,758 
Thereafter194,066 
Total$334,595