v3.26.1
Goodwill and Intangible Assets (Tables)
 6 Months Ended
Jun. 30, 2026
Intangible Asset, Goodwill and Other [Abstract]  
Schedule of Goodwill
The following table summarizes the carrying amounts of goodwill at June 30, 2026 and December 31, 2025 (in thousands):
Goodwill Carrying Amount
Balance as of December 31, 2024
$522,766 
Acquired goodwill(1)
5,078 
Impairment charges(2)
(3,500)
Balance as of December 31, 2025
$524,344 
Acquired goodwill adjustment(1)
(349)
Balance as of June 30, 2026
$523,995 
(1) In connection with the acquisition of Pathline, the Company recognized $5.1 million of goodwill during the year ended December 31, 2025 and an adjustment of $0.3 million during the six months ended June 30, 2026, reflecting the allocation of the purchase price to the identifiable assets acquired and liabilities assumed. Please refer to Note 3. Acquisitions and Disposals for further information about the acquisition of Pathline.
(2) In connection with the classification of the Trapelo assets as held for sale, the Company recognized an impairment charge of $3.5 million to write down the carrying value of the disposal group to its estimated fair value less costs to sell. Please refer to Note 3. Acquisitions and Disposals for further information about the sale of Trapelo.
Schedule of Classes of Intangible Assets
Intangible assets consisted of the following (in thousands):
  June 30, 2026
 Amortization
Period (years)		CostAccumulated
Amortization		Net
Customer Relationships
7 - 15
$144,301 $90,471 $53,830 
Developed Technology
10 - 15
276,825 92,942 183,883 
Trademarks
15
30,261 10,159 20,102 
Trademark - Indefinite lived—13,447 — 13,447 
Total $464,834 $193,572 $271,262 
  December 31, 2025
 Amortization
Period (years)		CostAccumulated
Amortization		Net
Customer Relationships(1)
7 - 15
$144,301 $85,441 $58,860 
Developed Technology(2)
10 - 15
276,825 83,714 193,111 
Trademarks(3)
1530,261 9,151 21,110 
Trade Name2.52,584 2,584 — 
Trademark - Indefinite lived—13,447 — 13,447 
Total$467,418 $180,890 $286,528 
(1) Includes $1.2 million of acquired client relationships related to Pathline. Please refer to Note 3. Acquisitions and Disposals for further information about the acquisition of Pathline.
(2) Includes an impairment loss of $10.5 million on InVisionFirst®-Lung developed technology and an adjustment of $12.4 million related to the classification of Trapelo as held for sale. Please refer to Note 3. Acquisitions and Disposals for further information about the disposal of Trapelo assets.
(3) Includes an impairment loss of $0.9 million on InVisionFirst®-Lung trademarks.
Schedule of Intangible Asset Amortization Expense The following table summarizes the amortization expense for the three and six months ended June 30, 2026 and 2025 (in thousands):
Three Months Ended June 30,Six Months Ended June 30,
2026202520262025
Amortization of intangibles included in cost of revenue$4,614 $4,811 $9,228 $9,721 
Amortization of intangibles included in general and administrative expenses3,020 3,3136,0396,765
Total amortization of intangibles$7,634 $8,124 $15,267 $16,486 
Schedule of Estimated Amortization Expense
The estimated amortization expense related to amortizable intangible assets for each of the following periods as of June 30, 2026 is as follows (in thousands):
 
Remainder of 2026$15,267 
202729,983 
202829,983 
202929,983 
203029,530 
Thereafter123,069 
Total$257,815