Goodwill and Intangible Assets (Notes)

9 Months Ended

Sep. 30, 2022

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Intangible Assets Disclosure [Text Block]

Goodwill and Intangible Assets, Net

Goodwill

    The following table presents the changes in the carrying amount of our goodwill (in thousands):

	Total
Balance as of January 1, 2022	$	43,439
Goodwill acquired (1)	1,449,977
Other (2)	(7,128)
Currency translation	(116,571)
Balance as of September 30, 2022	$	1,369,717

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(1)    Relates to Smiths Medical acquired on January 6, 2022.

(2)    Other reflects measurement period adjustments related to a 2021 acquisition of a small foreign infusion systems supplier.

Intangible Assets, Net

    Intangible assets, carried at cost less accumulated amortization and amortized on a straight-lined basis, were as follows (in thousands):

	Weighted-Average Amortization Life in Years	September 30, 2022
		Cost		Accumulated Amortization		Net
Patents	10	$	29,301	$	18,135	$	11,166
Customer contracts	12	9,909		6,339		3,570
Non-contractual customer relationships	8	560,691		85,081		475,610
Trademarks	1	5,425		5,425		—
Trade name	15	18,244		5,643		12,601
Developed technology	10	576,687		93,490		483,197
Non-compete	3	9,100		4,631		4,469
Total amortized intangible assets		$	1,209,357	$	218,744	$	990,613
Internally developed software*		$	30,045			$	30,045
Total intangible assets		$	1,239,402	$	218,744	$	1,020,658

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* Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use.

	Weighted-Average Amortization Life in Years	December 31, 2021
		Cost		Accumulated Amortization		Net
Patents	10	$	27,429	$	16,764	$	10,665
Customer contracts	12	10,412		6,196		4,216
Non-contractual customer relationships	9	57,316		33,004		24,312
Trademarks	4	425		425		—
Trade name	15	18,260		4,731		13,529
Developed technology	13	152,893		49,406		103,487
Non-compete	3	9,100		2,356		6,744
Total amortized intangible assets		$	275,835	$	112,882	$	162,953
Internally developed software*		$	25,358			$	25,358
Total intangible assets		$	301,193	$	112,882	$	188,311

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* Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use.

Intangible assets with definite lives are amortized on a straight-line basis over their estimated useful lives. During the three months ended September 30, 2022 and 2021, intangible asset amortization expense was $35.6 million and $5.8 million, respectively. During the nine months ended September 30, 2022 and 2021, intangible asset amortization expense was $108.9 million and $17.4 million, respectively.

During the three and nine months ended September 30, 2022, intangible assets and related amortization expense increased significantly due to the acquisition of Smiths Medical (see Note 3: Acquisitions).

As of September 30, 2022 estimated annual amortization for our intangible assets for each of the next five years is approximately (in thousands):

Remainder of 2022	$	33,624
2023	132,368
2024	131,729
2025	123,901
2026	123,502
2027	115,491
Thereafter	329,998
Total	$	990,613