GOODWILL AND INTANGIBLE ASSETS

12 Months Ended

Dec. 31, 2025

Goodwill and Intangible Assets Disclosure [Abstract]

GOODWILL AND INTANGIBLE ASSETS

5.GOODWILL AND INTANGIBLE ASSETS

The changes in the carrying amount of goodwill for the years ended December 31, 2025 and 2024, are as follows (in thousands):

	2025						2024
	Cardiovascular		Endoscopy		Total		Cardiovascular		Endoscopy		Total
Goodwill balance at January 1	$	446,514	$	16,997	$	463,511	$	382,240	$	—	$	382,240
Effect of foreign exchange		2,813		—		2,813		(1,623)		—		(1,623)
Additions and adjustments as the result of acquisitions		37,607		2,906		40,513		65,897		16,997		82,894
Goodwill balance at December 31	$	486,934	$	19,903	$	506,837	$	446,514	$	16,997	$	463,511

We did not have any goodwill impairments for the years ended December 31, 2025, 2024 and 2023. Total accumulated goodwill impairment losses aggregated to $8.3 million as of December 31, 2025 and 2024.

Other intangible assets at December 31, 2025 and 2024, consisted of the following (in thousands):

	December 31, 2025
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	33,979	$	(14,760)	$	19,219
Distribution agreements		3,250		(3,069)		181
License agreements		14,590		(10,218)		4,372
Trademarks		52,556		(28,293)		24,263
Customer lists		63,775		(40,096)		23,679
Total	$	168,150	$	(96,436)	$	71,714

	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

Aggregate amortization expense for the years ended December 31, 2025, 2024 and 2023 was $85.1 million, $65.6 million, and $56.1 million, respectively.

Estimated amortization expense for the developed technology and other intangible assets for the next five years consists of the following as of December 31, 2025 (in thousands):

Year ending December 31,	Estimated Amortization Expense
2026	$	83,865
2027		80,268
2028		78,601
2029		67,281
2030		54,968