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Goodwill and Other Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Carrying Values of Indefinite Lived Intangible Assets | The carrying values of our indefinite lived intangible assets were as follows (in thousands):
| December 31,
| 2024 |  | 2023
Goodwill | $ | 240,958 |  |  | $ | 247,337 |
In-process R&D | $ | 2,026 |  |  | $ | 2,154 |
Procurement contracts and agreements | $ | 2,013 |  |  | $ | 2,013 |
Schedule of Goodwill by Reportable Segment | Changes in the carrying value of our goodwill, all of which was related to our Medical Devices segment, was as follows (in thousands):
| Year Ended December 31,
| 2024 |  | 2023
Balance as of January 1, | $ | 247,337 |  |  | $ | 243,631 |
Foreign currency translation | (6,379) |  |  | 3,706 |
Balance as of December 31, | $ | 240,958 |  |  | $ | 247,337 |
Schedule of Gross Carrying Values, Accumulated Amortization, and Approximate Amortization Period of Definite Lived Intangible Assets | The major intangible asset classes consist of the following (in thousands, except weighted average useful life):
December 31, 2024 |  | Gross Carrying Value |  | Accumulated Amortization |  | Net Carrying Value |  | Weighted Average Useful Life (Years)
Acquired technology |  | $ | 195,912 |  |  | $ | 67,861 |  |  | $ | 128,051 |  |  | 18.3
Other intangibles: |  |  |  |  |  |  |  |
Customer lists and relationships |  | $ | 28,611 |  |  | $ | 11,617 |  |  | $ | 16,994 |  |  | 21.6
Distribution and manufacturing rights and know-how |  | 9,033 |  |  | 9,033 |  |  | — |  |  | 5.0
Patents |  | 4,428 |  |  | 3,460 |  |  | 968 |  |  | 17.0
Other |  | 11,776 |  |  | 5,445 |  |  | 6,331 |  |  | 5.0
Other intangibles, net |  | $ | 53,848 |  |  | $ | 29,555 |  |  | $ | 24,293 |  |  | 9.4
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
Other intangibles, net |  | $ | 50,517 |  |  | $ | 25,046 |  |  | $ | 25,471 |  |  | 10.0
Schedule of Amortization Expense | Amortization expense recorded in General, administrative, and marketing expenses in our Consolidated Statements of Operations and Comprehensive Loss was as follows (in thousands):
| Year Ended December 31,
| 2024 |  | 2023 |  | 2022
Amortization expense | $ | 15,855 |  |  | $ | 15,198 |  |  | $ | 15,310 |
Schedule of Amortization of Intangible Assets For Next Five Years | The estimated future amortization expense of intangible assets with definite lives as of December 31, 2024 for the next five years is as follows (in thousands):
| 2025 |  | 2026 |  | 2027 |  | 2028 |  | 2029 |  | Total
Amortization expense | $ | 13,190 |  |  | $ | 12,833 |  |  | $ | 12,730 |  |  | $ | 12,542 |  |  | $ | 12,342 |  |  | $ | 63,637 |

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