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GOODWILL AND INTANGIBLE ASSETS
6 Months Ended
Jun. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
GOODWILL AND INTANGIBLE ASSETS GOODWILL AND INTANGIBLE ASSETS
Goodwill

Changes in the carrying amount of goodwill for the six months ended June 30, 2023 were as follows:
Total
Goodwill at January 1, 2023$86,821 
Pega Medical measurement period adjustment(1,828)
Foreign currency translation impact(2,082)
Goodwill at June 30, 2023
$82,911 

Intangible Assets

As of June 30, 2023, the balances of amortizable intangible assets were as follows:
Weighted-Average Amortization PeriodGross Intangible AssetsAccumulated AmortizationNet Intangible Assets
Patents11.7 years$45,005 $(9,259)$35,746 
Intellectual Property & Capitalized Software9.7 years15,383 (1,773)13,610 
Customer Relationships & Other12.8 years18,857 (2,557)16,300 
License Agreements4.1 years10,697 (4,421)6,276 
Total amortizable assets$89,942 $(18,010)$71,932 

As of December 31, 2022, the balances of amortizable intangible assets were as follows:
Weighted-Average Amortization PeriodGross Intangible AssetsAccumulated AmortizationNet Intangible Assets
Patents12.2 years$46,005 $(7,953)$38,052 
Intellectual Property & Capitalized Software9.8 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 

Licenses are tied to product launches and do not begin amortizing until the product is launched to the market.

Trademarks are non-amortizing intangible assets which were $16,087 and $14,921 as of June 30, 2023 and December 31, 2022, respectively. Trademarks are recorded in Other intangible assets on the condensed consolidated balance sheets. The change in balance during the six months ended June 30, 2023 was the result of the measurement period adjustments associated with Pega Medical, the trademark recorded as a result of the MedTech acquisition, and foreign currency translation adjustments.

During 2022, management determined that a triggering event occurred, indicating that it was more likely than not the fair value of the ApiFix trademark asset was less than the carrying value. As such, the Company completed a quantitative analysis whereby we determined the fair value of the ApiFix trademark asset was below the carrying value. The primary reason for the impairment is the lower forecasted
revenue of our ApiFix product than previously expected. We recorded a $3,609 partial impairment charge for the year ended December 31, 2022 to reduce the carrying amount of the intangible asset to its estimated fair value. No impairment charges were recorded in any of the other periods presented or for any other indefinite lived trademark assets.