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GOODWILL AND INTANGIBLE ASSETS (Tables)
9 Months Ended
Sep. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill Changes in the carrying amount of goodwill for the nine months ended September 30, 2023 were as follows:
Total
Goodwill at January 1, 2023$86,821 
Pega Medical measurement period adjustment(1,936)
Foreign currency translation impact(3,991)
Goodwill at September 30, 2023
$80,894 
Schedule of the Balances of Amortizable Intangible Assets
As of September 30, 2023, the balances of amortizable intangible assets were as follows:
Weighted-Average Amortization PeriodGross Intangible AssetsAccumulated AmortizationNet Intangible Assets
Patents11.5 years$44,044 $(9,830)$34,214 
Intellectual Property & Capitalized Software9.4 years16,027 (2,154)13,873 
Customer Relationships & Other12.6 years18,632 (2,884)15,748 
License Agreements3.9 years10,483 (4,805)5,678 
Total amortizable assets$89,186 $(19,673)$69,513 

As of December 31, 2022, the balances of amortizable intangible assets were as follows:
Weighted-Average Amortization PeriodGross Intangible AssetsAccumulated AmortizationNet Intangible Assets
Patents12.2 years$46,005 $(7,953)$38,052 
Intellectual Property & Capitalized Software9.8 years5,859 (1,382)4,477 
Customer Relationships & Other13.4 years17,262 (1,805)15,457 
License Agreements4.5 years10,697 (3,703)6,994 
Total amortizable assets$79,823 $(14,843)$64,980