Goodwill and Other Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Carrying Values of Indefinite Lived Intangible Assets

As of September 30, 2023 and December 31, 2022 the carrying values of our indefinite lived intangible assets were as follows (in thousands):

	September 30, 2023		December 31, 2022
Goodwill	$	242,936	$	243,631
In-process R&D	2,066		2,080
Procurement contracts and agreements	2,013		2,013

Schedule of Goodwill by Reportable Segment

As of September 30, 2023 and December 31, 2022 the carrying value of goodwill, all of which is related to our Medical Devices segment, was as follows (in thousands):

	Medical Devices Segment
Balance as of December 31, 2022	$	243,631
Foreign currency translation	(695)
Balance as of September 30, 2023	$	242,936

Schedule of Gross Carrying Values, Accumulated Amortization, and Approximate Amortization Period of Definite Lived Intangible Assets

As of September 30, 2023 and December 31, 2022 the gross carrying values, accumulated amortization, and approximate amortization period of our definite lived intangible assets were as follows (in thousands, except weighted average useful life):

September 30, 2023	Gross Carrying Value		Accumulated Amortization		Net Carrying Value		Weighted Average Useful Life (Years)
Acquired technology	$	197,768	$	55,093	$	142,675	18.2
Other intangibles:
Customer lists and relationships	28,648		9,973		18,675		21.6
Distribution and manufacturing rights and know-how	9,211		7,052		2,159		5.0
Patents	4,322		3,210		1,112		17.0
Other	6,684		3,311		3,373		5.0
Total other intangibles	$	48,865	$	23,546	$	25,319	10.3

December 31, 2022	Gross Carrying Value		Accumulated Amortization		Net Carrying Value		Weighted Average Useful Life (Years)
Acquired technology	$	198,420	$	47,157	$	151,263	18.2
Other intangibles:
Customer lists and relationships	31,030		11,100		19,930		20.5
Distribution and manufacturing rights and know-how	9,274		5,796		3,478		5.0
Patents	4,246		3,180		1,066		17.0
Other	5,360		2,543		2,817		4.4
Total other intangibles	$	49,910	$	22,619	$	27,291	10.3

Summary of Amortization Expense

The following is a summary of amortization expense as recorded in General, administrative, and marketing expenses on our Condensed Consolidated Statement of Operations and Comprehensive Loss (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Amortization expense	$	3,766	$	3,686	$	11,453	$	11,675

Scheduled Amortization of Intangible Assets for Next Five Years

As of September 30, 2023 scheduled amortization of intangible assets for the next five years is as follows (in thousands):

	Remainder of 2023		2024		2025		2026		2027		2028		Total
Amortization expense	$	3,720	$	14,700	$	12,848	$	12,617	$	12,511	$	12,313	$	68,709