Goodwill and Other Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2022

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Carrying Values of Indefinite Lived Intangible Assets

As of September 30, 2022 and December 31, 2021 the carrying values of our indefinite lived intangible assets were as follows (in thousands):

	September 30, 2022		December 31, 2021
Goodwill	$	234,773	$	250,000
In-process R&D	1,901		2,208
Procurement contracts and agreements	2,013		2,013
Trademarks	247		66

Schedule of Goodwill by Reportable Segment

As of September 30, 2022 and December 31, 2021 the carrying value of goodwill, all of which is related to our Medical devices segment, is as follows (in thousands):

	Medical Devices Segment
Balance as of December 31, 2021	$	250,000
Foreign currency translation	(15,227)
Balance as of September 30, 2022	$	234,773

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

As of September 30, 2022 and December 31, 2021 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, 2022	Gross Carrying Value		Accumulated Amortization		Net Carrying Value		Weighted Average Useful Life (Years)
Acquired technology	$	190,108	$	42,048	$	148,060	18.3
Other intangibles:
Customer lists and relationships	30,868		10,677		20,191		20.6
Distribution and manufacturing rights and know-how	8,476		4,900		3,576		5.0
Patents	4,171		3,168		1,003		17.0
Other	4,325		2,144		2,181		4.5
Total other intangibles	$	47,840	$	20,889	$	26,951	10.8

December 31, 2021	Gross Carrying Value		Accumulated Amortization		Net Carrying Value		Weighted Average Useful Life (Years)
Acquired technology	$	213,626	$	46,632	$	166,994	17.7
Other intangibles:
Customer lists and relationships	31,148		9,618		21,530		20.5
Distribution and manufacturing rights and know-how	9,847		4,308		5,539		5.0
Patents	4,083		3,144		939		17.0
Other	3,969		1,762		2,207		4.4
Total other intangibles	$	49,047	$	18,832	$	30,215	10.6

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) Income (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2022		2021		2022		2021
Amortization expense	$	3,686	$	4,203	$	11,675	$	12,701

Scheduled Amortization of Intangible Assets for Next Five Years

As of September 30, 2022 scheduled amortization of intangible assets for the next five years is as follows (in thousands):

	Remainder of 2022		2023	2024	2025	2026	2027	Total
Amortization expense	$	3,593	14,174	13,822	12,070	11,842	11,748	$	67,249