v3.26.1
Intangible assets (Tables)
 9 Months Ended
Sep. 30, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Finite-Lived Intangible Assets
The carrying amount of Intangible Assets as of September 30, 2025 is as follows:

September 30,
2025
(As Restated)
(in thousands)
Cost
Customer relationships$4,134,107 
Order backlog545,922 
Trade names & brands204,713 
Patient database170,487 
Technology assets151,691 
Total cost5,206,920 
Accumulated amortization(1,822,598)
Impairment(86,739)
 Net book value$3,297,583