Goodwill and Intangible Assets (Tables)
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3 Months Ended |
Mar. 31, 2024 |
| Goodwill and Intangible Assets Disclosure [Abstract] |
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| Schedule of Goodwill |
The following table summarizes the carrying amounts of goodwill by segment at March 31, 2024 and December 31, 2023 (in thousands): | | | | | | | | | | | | | | | | | March 31, 2024 | | December 31, 2023 | | Clinical Services | | $ | 458,782 | | | $ | 458,782 | | | Advanced Diagnostics | | 63,984 | | | 63,984 | | | Total | | $ | 522,766 | | | $ | 522,766 | |
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| Schedule of Classes of Intangible Assets |
Intangible assets consisted of the following (in thousands): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | March 31, 2024 | | | | Amortization Period (years) | | Cost | | Accumulated Amortization | | Net | | | | | | | | | | | | | | | | | | | | Customer Relationships | | 7 - 15 | | $ | 143,101 | | | $ | 68,007 | | | $ | 75,094 | | | Developed Technology | | 10 - 15 | | 310,226 | | | 59,768 | | | 250,458 | | | Marketing Assets | | 4 | | 549 | | | 411 | | | 138 | | | Trademarks | | 15 | | 31,473 | | | 5,846 | | | 25,627 | | | Trade Name | | 2.5 | | 2,584 | | | 2,584 | | | — | | | Trademark - Indefinite lived | | — | | 13,447 | | | — | | | 13,447 | | | Total | | | | $ | 501,380 | | | $ | 136,616 | | | $ | 364,764 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 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 | |
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| Schedule of Intangible Asset Amortization Expense |
The following table summarizes the amortization expense for the three months ended March 31, 2024 and 2023 (in thousands): | | | | | | | | | | | | | | | | | Three Months Ended March 31, | | | 2024 | | 2023 | | Amortization of intangibles included in cost of revenue | | $ | 4,910 | | | $ | 4,853 | | | Amortization of intangibles included in general and administrative expenses | | 3,452 | | | 3,930 | | | Total amortization of intangibles | | $ | 8,362 | | | $ | 8,783 | |
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| Schedule of Estimated Amortization Expense |
The estimated amortization expense related to amortizable intangible assets for each of the following periods as of March 31, 2024 is as follows (in thousands): | | | | | | | Remainder of 2024 | $ | 25,085 | | | 2025 | 33,343 | | | 2026 | 33,308 | | | 2027 | 32,758 | | | 2028 | 32,758 | | | | | Thereafter | 194,065 | | | Total | $ | 351,317 | |
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