Goodwill and Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2019

Goodwill and Intangible Assets

Schedule of goodwill

Balance at January 1, 2019	$	108,213
Goodwill from 2019 acquisitions		42,677
Adjustments to goodwill related to prior year acquisitions		32
Balance at June 30, 2019	$	150,922

Schedule of intangible assets

	Weighted Average
	Amortization Period			Accumulated		Intangible
	(in years)	Gross Value		Amortization		Assets, net
June 30, 2019
Trade names	6.97	$	11,625	$	(3,209)	$	8,416
Client relationships	12.18		128,169		(15,426)		112,743
Non-competition agreements	5.00		7,254		(2,589)		4,665
Developed technology	8.10		67,391		(11,371)		56,020
Patient database	5.00		21,700		(1,447)		20,253
Domain name	10.00		59		(12)		47
Total intangible assets		$	236,198	$	(34,054)	$	202,144

	Weighted Average
	Amortization Period			Accumulated		Intangible
	(in years)	Gross Value		Amortization		Assets, net
December 31, 2018
Trade names	7.96	$	7,436	$	(2,357)	$	5,079
Client relationships	9.56		54,069		(10,757)		43,312
Non-competition agreements	5.00		6,754		(1,885)		4,869
Developed technology	7.19		31,191		(7,296)		23,895
Domain name	10.00		59		(8)		51
Total intangible assets		$	99,509	$	(22,303)	$	77,206

Schedule of estimated amortization expense

Years Ending December 31,
2019 (July 1 - December 31)	$	13,776
2020		27,095
2021		26,978
2022		25,886
2023		24,676
Thereafter		83,733
Total estimated amortization expense	$	202,144