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Goodwill and Other Intangible Assets (Tables) | 12 Months Ended
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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 |

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