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Goodwill and Other Intangible Assets (Tables)
 6 Months Ended
Jun. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Carrying Values of Indefinite Lived Intangible Assets
As of June 30, 2023 and December 31, 2022 the carrying values of our indefinite lived intangible assets were as follows (in thousands):
 June 30,
2023		December 31,
2022
Goodwill$245,561$243,631
In-process R&D2,1192,080
Procurement contracts and agreements2,0132,013
Schedule of Goodwill by Reportable Segment
As of June 30, 2023 and December 31, 2022 the carrying value of goodwill, all of which is related to our Medical Devices segment, was as follows (in thousands):
Medical Devices Segment
Balance as of December 31, 2022$243,631
Foreign currency translation1,930
Balance as of June 30, 2023$245,561
Schedule of Gross Carrying Values, Accumulated Amortization, and Approximate Amortization Period of Definite Lived Intangible Assets As of June 30, 2023 and December 31, 2022 the gross carrying values, accumulated amortization, and approximate amortization period of our definite lived intangible assets were as follows (in thousands, except weighted average useful life):
June 30, 2023Gross Carrying
Value		Accumulated
Amortization		Net Carrying
Value		Weighted Average
Useful Life
(Years)
Acquired technology$200,231$53,202$147,02918.2
Other intangibles:
Customer lists and relationships28,6969,65719,03921.6
Distribution and manufacturing rights and know-how9,4486,7912,6575.0
Patents4,3223,2011,12117.0
Other6,1813,1643,0175.0
Total other intangibles$48,647$22,813$25,83410.3
December 31, 2022Gross Carrying
Value		Accumulated
Amortization		Net Carrying
Value		Weighted Average
Useful Life
(Years)
Acquired technology$198,420$47,157$151,26318.2
Other intangibles:
Customer lists and relationships31,03011,10019,93020.5
Distribution and manufacturing rights and know-how9,2745,7963,4785.0
Patents4,2463,1801,06617.0
Other5,3602,5432,8174.4
Total other intangibles$49,910$22,619$27,29110.3
Summary of Amortization Expense
The following is a summary of amortization expense as recorded in General, administrative, and marketing expenses on our Condensed Consolidated Statement of Operations and Comprehensive Loss (in thousands):
Three Months Ended
June 30,		Six Months Ended
June 30,
2023202220232022
Amortization expense$3,805 $3,905 $7,687 $7,989 
Scheduled Amortization of Intangible Assets for Next Five Years
As of June 30, 2023 scheduled amortization of intangible assets for the next five years is as follows (in thousands):
Remainder
of 2023		20242025202620272028Total
Amortization expense$7,495 $14,815 $12,915 $12,687 $12,586 $12,420 $72,918