Goodwill, Intangible Assets and Impairment Charges (Tables)

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Summary of Changes in Goodwill

The following table summarizes changes in goodwill during the year ended December 31, 2023 (in thousands):

	Amount
Balance at beginning of year	$	478,897
Effect of foreign exchange rate changes		5,610
Balance at end of year	$	484,507

Goodwill by Reportable Segment

Goodwill by reportable segment as of December 31, 2023 was as follows (in thousands):

	Reportable Segment
	Precision Medicine and Manufacturing			Medical Solutions			Robotics and Automation			Total
Goodwill	$	211,380		$	169,738		$	254,618		$	635,736
Accumulated impairment of goodwill		(102,461	)		(31,722	)		(17,046	)		(151,229	)
Total	$	108,919		$	138,016		$	237,572		$	484,507

Goodwill by reportable segment as of December 31, 2022 was as follows (in thousands):

	Reportable Segment
	Precision Medicine and Manufacturing			Medical Solutions			Robotics and Automation			Total
Goodwill	$	208,387		$	167,891		$	253,848		$	630,126
Accumulated impairment of goodwill		(102,461	)		(31,722	)		(17,046	)		(151,229	)
Total	$	105,926		$	136,169		$	236,802		$	478,897

Intangible Assets

Intangible assets as of December 31, 2023 and 2022, respectively, are summarized as follows (dollar amounts in thousands):

	December 31, 2023
	Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount		Weighted Average Remaining Life (Years)
Amortizable intangible assets:
Patents and developed technologies	$	187,092	$	(146,342	)	$	40,750		9.6
Customer relationships		225,183		(142,478	)		82,705		14.4
Trademarks and trade names		23,628		(15,088	)		8,540		9.5
Amortizable intangible assets		435,903		(303,908	)		131,995		12.6
Non-amortizable intangible assets:
Trade names		13,027		—			13,027
Total	$	448,930	$	(303,908	)	$	145,022

	December 31, 2022
	Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount		Weighted Average Remaining Life (Years)
Amortizable intangible assets:
Patents and developed technologies	$	184,589	$	(132,350	)	$	52,239		10.1
Customer relationships		222,173		(121,527	)		100,646		15.0
Trademarks and trade names		23,311		(13,457	)		9,854		10.0
Amortizable intangible assets		430,073		(267,334	)		162,739		13.2
Non-amortizable intangible assets:
Trade names		13,027		—			13,027
Total	$	443,100	$	(267,334	)	$	175,766

Amortization Expense of Intangible Assets

Amortization expense was as follows (in thousands):

	Year Ended December 31,
	2023		2022		2021
Amortization expense – cost of revenue	$	12,150	$	13,270	$	13,288
Amortization expense – operating expenses		20,445		26,338		16,577
Total amortization expense	$	32,595	$	39,608	$	29,865

Estimated Future Amortization Expense

Estimated future amortization expense for each of the five succeeding years and thereafter is as follows (in thousands):

Year Ending December 31,	Cost of Revenue		Operating Expenses		Total
2024	$	9,961	$	17,297	$	27,258
2025		8,428		14,632		23,060
2026		7,035		12,452		19,487
2027		4,266		10,041		14,307
2028		3,388		8,310		11,698
Thereafter		7,672		28,513		36,185
Total	$	40,750	$	91,245	$	131,995