v3.22.4
GOODWILL AND INTANGIBLE ASSETS (Tables)
 12 Months Ended
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill Changes in the carrying amount of goodwill were as follows:
Total
Goodwill at January 1, 2021
$70,511 
Foreign currency translation impact1,838 
Goodwill at January 1, 2022
$72,349 
MD Ortho acquisition5,450 
Pega acquisition16,528 
Foreign currency translation impact(7,506)
Goodwill at December 31, 2022
$86,821 
Schedule of the Balances of Amortizable Intangible Assets
As of December 31, 2022, the balances of total intangible assets were as follows:
Weighted-Average Amortization Period
Gross Intangible AssetsAccumulated AmortizationImpairmentNet Intangible Assets
Patents12.2 years$46,005 $(7,953)$— $38,052 
Intellectual Property9.8 years5,859 (1,382)— 4,477 
Customer Relationships & Other13.4 years17,262 (1,805)— 15,457 
License agreements4.5 years10,697 (3,703)— 6,994 
Total amortizable assets$79,823 $(14,843)$— $64,980 
Other intangible assets
Trademark assetsIndefinite$18,530 $— $3,609 $14,921 


As of December 31, 2021, the balances of amortizable intangible assets were as follows:
Weighted-Average Amortization PeriodGross Intangible AssetsAccumulated AmortizationNet Intangible Assets
Patents13.7 years$44,493 $(5,664)$38,829 
Intellectual Property10.1 years9,847 (1,408)8,439 
License agreements5.5 years10,674 (2,448)8,226 
Total amortizable assets$65,014 $(9,520)55,494 
Schedule of Amortization Expense of Amortizable Intangible Assets Future amortization expenses are expected as follows:
Year Ending December 31:
2023$6,370 
20246,247 
20256,058 
20266,040 
20275,686 
Thereafter34,579 
$64,980