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Goodwill and Intangible Assets (Tables)
 6 Months Ended
Jun. 30, 2021
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill The following table summarizes the changes in the carrying amount of goodwill by segment for the six months ended June 30, 2021 (in thousands):
Clinical ServicesPharma ServicesTotal
Balance as of December 31, 2020$179,534 $31,549 $211,083 
Trapelo acquisition44,664 — 44,664 
Inivata acquisition214,563 29,667 244,230 
Balance as of June 30, 2021$438,761 $61,216 $499,977 
Classes of Intangible Assets
Intangible assets consisted of the following (in thousands):
  June 30, 2021
 Amortization
Period		CostAccumulated
Amortization		Net
Customer Relationships
7 - 15 years
$143,101 $40,811 $102,290 
Developed Technology
10 - 15 years
322,022 1,167 320,855 
Marketing Assets
4 years
549 32 517 
Trademarks
15 years
31,700 76 31,624 
Trade Name
5 years
2,322 17 2,305 
Trademark - Indefinite lived— 13,447 — 13,447 
Total $513,141 $42,103 $471,038 
 
  December 31, 2020
 Amortization
Period		CostAccumulated
Amortization		Net
Customer Relationships
7 - 15 years
$143,101 $35,895 $107,206 
Trademark - Indefinite lived— 13,447 — 13,447 
Total$156,548 $35,895 $120,653 
Schedule of Intangible Asset Amortization Expense The following table summarized the amortization expense for the three and six months ended June 30, 2021 and 2020 (in thousands):
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Amortization of intangibles included in cost of revenue$729 $— $729 $— 
Amortization of intangibles included in general and administrative expenses3,022 2,4675,4804,919
Total amortization of intangibles$3,751 $2,467 $6,209 $4,919 
Estimated Amortization Expense
The estimated amortization expense related to amortizable intangible assets for each of the following periods as of June 30, 2021 is as follows (in thousands):
 
Remainder of 2021$17,326 
202234,650 
202334,650 
202434,650 
202534,549 
Thereafter301,766 
Total$457,591