Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2022

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The changes in the net carrying amount of goodwill for the years ended December 31, are as follows:

	2022		2021
Balance as of January 1,	$	617,528	$	618,440
Goodwill resulting from business combinations	199,162		—
Foreign currency translation	(1,261)		(912)
Balance as of December 31,	$	815,429	$	617,528

Schedule of Finite-Lived Intangible Assets

Other intangible assets consist of the following:

	December 31, 2022					December 31, 2021
	Weighted Average Amortization Period (Years)	Gross Carrying Amount		Accumulated Amortization		Gross Carrying Amount		Accumulated Amortization
Intangible assets with definite lives:	22
Customer and distributor relationships	24	$	369,854	$	(170,870)	$	342,452	$	(152,934)
Sales representation, marketing and promotional rights	25	149,376		(66,000)		149,376		(60,000)
Patents and other intangible assets	16	79,838		(52,472)		76,392		(50,890)
Developed technology	18	320,204		(34,675)		106,604		(26,495)
Intangible assets with indefinite lives:
Trademarks and tradenames		86,544		—		86,544		—
		$	1,005,816	$	(324,017)	$	761,368	$	(290,319)

Schedule of Indefinite-Lived Intangible Assets

Other intangible assets consist of the following:

	December 31, 2022					December 31, 2021
	Weighted Average Amortization Period (Years)	Gross Carrying Amount		Accumulated Amortization		Gross Carrying Amount		Accumulated Amortization
Intangible assets with definite lives:	22
Customer and distributor relationships	24	$	369,854	$	(170,870)	$	342,452	$	(152,934)
Sales representation, marketing and promotional rights	25	149,376		(66,000)		149,376		(60,000)
Patents and other intangible assets	16	79,838		(52,472)		76,392		(50,890)
Developed technology	18	320,204		(34,675)		106,604		(26,495)
Intangible assets with indefinite lives:
Trademarks and tradenames		86,544		—		86,544		—
		$	1,005,816	$	(324,017)	$	761,368	$	(290,319)

Schedule of Estimated Amortization Expense

The estimated amortization expense related to intangible assets at December 31, 2022 and for each of the five succeeding years is as follows:

	Amortization included in expense		Amortization recorded as a reduction of revenue		Total
2023	$	29,351	$	6,000	$	35,351
2024	29,059		6,000		35,059
2025	29,551		6,000		35,551
2026	29,308		6,000		35,308
2027	30,347		6,000		36,347