Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2022

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Carrying Values of Indefinite Lived Intangible Assets

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

	2022		2021
Goodwill	$	243,631	$	250,000
In-process R&D	2,080		2,208
Procurement contracts and agreements	2,013		2,013
Trademarks	—		66

Schedule of Goodwill by Reportable Segment

As of December 31, 2022 and 2021 the value of our goodwill, all of which was related to our Medical Devices segment, was as follows (in thousands):

	Medical Devices Segment
	2022		2021
Balance as of January 1,	$	250,000	$	260,061
Ascyrus acquisition	—		(942)
Foreign currency translation	(6,369)		(9,119)
Balance as of December 31,	$	243,631	$	250,000

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

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

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

Amortization expense recorded in General, administrative, and marketing expenses on our Consolidated Statements of Operations and Comprehensive Loss for the years ended December 31 was as follows (in thousands):

	2022		2021		2020
Amortization expense	$	15,310	$	16,820	$	13,764

Scheduled Amortization of Intangible Assets For Next Five Years

As of December 31, 2022 scheduled amortization of intangible assets for the next five years is as follows (in thousands):

	2023		2024		2025		2026		2027		Total
Amortization expense	$	14,935	$	14,577	$	12,680	$	12,458	$	12,360	$	67,010