Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in carrying amount of goodwill

The changes in the carrying amount of goodwill for the years ended December 31, 2024 and 2023, are as follows (in thousands):

	2024						2023
	Cardiovascular		Endoscopy		Total		Cardiovascular		Endoscopy		Total
Goodwill balance at January 1	$	382,240	$	—	$	382,240	$	359,821	$	—	$	359,821
Effect of foreign exchange		(1,623)		—		(1,623)		883		—		883
Additions and adjustments as the result of acquisitions		65,897		16,997		82,894		21,536		—		21,536
Goodwill balance at December 31	$	446,514	$	16,997	$	463,511	$	382,240	$	—	$	382,240

Other intangible assets

Other intangible assets at December 31, 2024 and 2023, consisted of the following (in thousands):

	December 31, 2024
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	31,489	$	(12,824)	$	18,665
Distribution agreements		3,250		(2,994)		256
License agreements		11,557		(9,125)		2,432
Trademarks		47,613		(24,177)		23,436
Customer lists		57,933		(36,223)		21,710
Total	$	151,842	$	(85,343)	$	66,499

	December 31, 2023
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	28,877	$	(10,916)	$	17,961
Distribution agreements		3,250		(2,919)		331
License agreements		11,142		(8,327)		2,815
Trademarks		35,135		(20,804)		14,331
Customer lists		40,367		(33,921)		6,446
Total	$	118,771	$	(76,887)	$	41,884

Estimated amortization expense

Estimated amortization expense for the developed technology and other intangible assets for the next five years consists of the following as of December 31, 2024 (in thousands):

Year ending December 31,	Estimated Amortization Expense
2025	$	83,747
2026		73,155
2027		69,188
2028		67,790
2029		56,115