Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2019

Goodwill and Intangible Assets

Schedule of goodwill

Balance at January 1, 2019	$	108,213
Goodwill from 2019 acquisitions		42,545
Adjustments to goodwill related to prior year acquisitions		32
Balance at September 30, 2019	$	150,790

Schedule of intangible assets

	Weighted Average
	Amortization Period			Accumulated		Intangible
	(in years)	Gross Value		Amortization		Assets, net
September 30, 2019
Trade names	7.0	$	11,625	$	(3,687)	$	7,938
Client relationships	12.2		128,169		(18,202)		109,967
Non-competition agreements	5.0		7,254		(2,941)		4,313
Developed technology	8.0		68,593		(13,606)		54,987
Patient database	5.0		21,700		(2,532)		19,168
Domain name	10.0		59		(13)		46
Total intangible assets		$	237,400	$	(40,981)	$	196,419

	Weighted Average
	Amortization Period			Accumulated		Intangible
	(in years)	Gross Value		Amortization		Assets, net
December 31, 2018
Trade names	8.0	$	7,436	$	(2,357)	$	5,079
Client relationships	9.6		54,069		(10,757)		43,312
Non-competition agreements	5.0		6,754		(1,885)		4,869
Developed technology	7.2		31,191		(7,296)		23,895
Domain name	10.0		59		(8)		51
Total intangible assets		$	99,509	$	(22,303)	$	77,206

Schedule of estimated amortization expense

Years Ending December 31,
2019 (October 1 - December 31)	$	6,931
2020		27,331
2021		27,214
2022		26,123
2023		24,913
Thereafter		83,907
Total estimated amortization expense	$	196,419