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Goodwill and Other Intangible Assets (Tables) | 9 Months Ended
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Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Carrying Values of Indefinite Lived Intangible Assets | As of September 30, 2024 and December 31, 2023 the carrying values of our indefinite lived intangible assets were as follows (in thousands):
| September 30, 2024 |  | December 31, 2023
Goodwill | $ | 248,745 |  | $ | 247,337
In-process R&D | 2,183 |  | 2,154
Procurement contracts and agreements | 2,013 |  | 2,013
Schedule of Goodwill by Reportable Segment | As of September 30, 2024 and December 31, 2023 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, 2023 | $ | 247,337 |
Foreign currency translation | 1,408
Balance as of September 30, 2024 | $ | 248,745 |
Schedule of Gross Carrying Values, Accumulated Amortization, and Approximate Amortization Period of Definite Lived Intangible Assets | As of September 30, 2024 and December 31, 2023 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):
September 30, 2024 |  | Gross Carrying Value |  | Accumulated Amortization |  | Net Carrying Value |  | Weighted Average Useful Life (Years)
Acquired technology |  | $ | 203,219 |  | $ | 68,167 |  | $ | 135,052 |  | 18.2
Other intangibles: |  |  |  |  |  |  |  |
Customer lists and relationships |  | 28,754 |  | 11,342 |  | 17,412 |  | 21.6
Distribution and manufacturing rights and know-how |  | 9,735 |  | 9,279 |  | 456 |  | 5.0
Patents |  | 4,422 |  | 3,261 |  | 1,161 |  | 17.0
Other |  | 11,541 |  | 5,239 |  | 6,302 |  | 5.0
Total other intangibles |  | $ | 54,452 |  | $ | 29,121 |  | $ | 25,331 |  | 9.3
December 31, 2023 |  | Gross Carrying Value |  | Accumulated Amortization |  | Net Carrying Value |  | Weighted Average Useful Life (Years)
Acquired technology |  | $ | 201,897 |  | $ | 59,304 |  | $ | 142,593 |  | 18.2
Other intangibles: |  |  |  |  |  |  |  |
Customer lists and relationships |  | 28,729 |  | 10,334 |  | 18,395 |  | 21.6
Distribution and manufacturing rights and know-how |  | 9,608 |  | 7,807 |  | 1,801 |  | 5.0
Patents |  | 4,365 |  | 3,225 |  | 1,140 |  | 17.0
Other |  | 7,815 |  | 3,680 |  | 4,135 |  | 5.0
Total other intangibles |  | $ | 50,517 |  | $ | 25,046 |  | $ | 25,471 |  | 10.0
Schedule 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 Income (Loss) (in thousands):
| Three Months Ended September 30, |  | Nine Months Ended September 30,
| 2024 |  | 2023 |  | 2024 |  | 2023
Amortization expense | $ | 3,990 |  |  | $ | 3,766 |  |  | $ | 11,650 |  |  | $ | 11,453 |
Schedule of Amortization of Intangible Assets for Next Five Years | As of September 30, 2024 scheduled amortization of intangible assets for the next five years is as follows (in thousands):
| Remainder of 2024 |  | 2025 |  | 2026 |  | 2027 |  | 2028 |  | 2029 |  | Total
Amortization expense | $ | 4,073 |  |  | $ | 13,634 |  |  | $ | 13,249 |  |  | $ | 13,140 |  |  | $ | 12,944 |  |  | $ | 12,745 |  |  | $ | 69,785 |

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