Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The following table summarizes the changes in the carrying amount of goodwill by segment as of December 31, 2023 and 2022 (in thousands):

	2023		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 as of December 31, 2023 and 2022 (in thousands):

		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
		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

For the years ended December 31, 2023, 2022 and 2021, amortization on the Consolidated Statements of Operations was recorded as follows (in thousands):

	2023		2022		2021
Amortization recorded in:
Cost of revenue	$	19,638	$	19,412	$	10,407
General and administrative	15,495		14,646		12,753
Total amortization	$	35,133	$	34,058	$	23,160

Schedule of Estimated Amortization Expense

As of December 31, 2023, the estimated amortization expense related to amortizable intangible assets for each of the five following years and thereafter is as follows (in thousands):

2024	$	33,447
2025	33,343
2026	33,308
2027	32,758
2028	32,758
Thereafter	194,067
Total	$	359,681