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Goodwill and Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The change in the carrying value of goodwill for the year ended December 31, 2022 and 2021, categorized by reportable segments, is as follows (in thousands):
Clear AlignerSystems and ServicesTotal
Balance as of December 31, 2020
$112,691 $332,126 $444,817 
Additions from acquisition3,646 — 3,646 
Foreign currency translation adjustments(4,129)(25,787)(29,916)
Balance as of December 31, 2021
112,208 306,339 418,547 
Additions from acquisition— 8,729 8,729 
Foreign currency translation adjustments(2,728)(16,997)(19,725)
Balance as of December 31, 2022
$109,480 $298,071 $407,551 
Schedule of Amortized Intangible Assets
Acquired intangible long-lived assets were as follows, excluding intangibles that were fully amortized (in thousands):
Weighted Average Amortization Period (in years)
Gross Carrying Amount as of
December 31, 2022
Accumulated
Amortization
Accumulated Impairment Loss
Net Carrying
Value as of
December 31, 2022
Existing technology10$112,051 $(33,537)$(4,328)$74,186 
Customer relationships1021,500 (5,913)— 15,587 
Trademarks and tradenames1017,200 (6,442)(4,122)6,636 
Patents 86,511 (5,288)— 1,223 
$157,262 $(51,180)$(8,450)97,632 
Foreign currency translation adjustments(1,912)
Total intangible assets, net 1
$95,720 
1    Also includes $33.5 million of fully amortized intangible assets related to customer relationships.

Weighted Average Amortization Period (in years)
Gross Carrying
Amount as of
December 31, 2021
Accumulated
Amortization
Accumulated Impairment Loss
Net Carrying
Value as of
December 31, 2021
Existing technology10$104,531 $(22,495)$(4,328)$77,708 
Customer relationships1155,000 (25,891)(10,751)18,358 
Trademarks and tradenames1017,200 (4,547)(4,179)8,474 
Patents86,511 (4,495)— 2,016 
$183,242 $(57,428)$(19,258)106,556 
Foreign currency translation adjustments3,153 
Total intangible assets, net$109,709 
Schedule of Future Amortization for Finite-Lived Intangible Assets
The total estimated annual future amortization expense for these acquired intangible assets as of December 31, 2022 is as follows (in thousands):
Fiscal YearAmortization
2023$16,501 
202415,335 
202514,959 
202614,353 
202711,992 
Thereafter24,492 
Total$97,632