| Schedule of Goodwill |
The following table summarizes the activity in Goodwill, by segment during the years ended December 31, 2023 and 2022: | | | | | | | | | | | | | | | | | | | | Prevention & Recovery | | Reconstructive | | Total | | | (In thousands) | | Balance, January 1, 2022 | $ | 1,088,533 | | | $ | 845,725 | | | $ | 1,934,258 | | Goodwill attributable to acquisitions(1) | — | | | 61,241 | | | 61,241 | | | | | | | | | Impact of foreign currency translation | (10,897) | | | (1,014) | | | (11,911) | | | Balance, December 31, 2022 | 1,077,636 | | | 905,952 | | | 1,983,588 | | Goodwill attributable to acquisitions(1) | — | | | 43,683 | | | 43,683 | | | | | | | | | Impact of foreign currency translation | 23,859 | | | 9,763 | | | 33,622 | | | Balance, December 31, 2023 | $ | 1,101,495 | | | $ | 959,398 | | | $ | 2,060,893 | | | | | | | |
(1) Includes purchase accounting adjustments associated with acquisitions discussed in Note 5, “Acquisitions”. |
| Schedule Of Intangible Assets |
The following table summarizes the Company’s Intangible assets, excluding Goodwill: | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, | | 2023 | | 2022 | | Gross
Carrying
Amount | | Accumulated
Amortization | | Gross
Carrying
Amount | | Accumulated
Amortization | | (In thousands) | | Definite-Lived Intangible Assets | | | | | | | | | Acquired customer relationships | $ | 548,234 | | | $ | (279,757) | | | $ | 528,489 | | | $ | (215,962) | | | Acquired technology | 632,801 | | | (184,216) | | | 553,284 | | | (134,967) | | | Acquired trade names | 458,917 | | | (100,061) | | | 414,801 | | | (74,644) | | | Software | 83,849 | | | (42,910) | | | 72,371 | | | (39,202) | | | Other intangible assets | 16,335 | | | (5,829) | | | 9,917 | | | (3,360) | | | | $ | 1,740,136 | | | $ | (612,773) | | | $ | 1,578,862 | | | $ | (468,135) | |
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| Schedule of Finite-Lived Intangible Assets, Future Amortization Expense |
The Company’s expected annual amortization expense for intangible assets for the next five years is as follows: | | | | | | | | December 31, 2023 | | | (In thousands) | | 2024 | $ | 145,822 | | | 2025 | 144,572 | | | 2026 | 139,483 | | | 2027 | 131,403 | | | 2028 | 96,556 | |
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