Quarterly report pursuant to Section 13 or 15(d)

Goodwill and Intangible Assets (Tables)

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Goodwill and Intangible Assets (Tables)
 3 Months Ended
Mar. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The following table shows changes in the carrying amount of goodwill by reportable segment as of March 31, 2024 and December 31, 2023 (in millions):
Medical Technologies Consolidated
Balance—December 31, 2023 $ 633.4  $ 814.2  $ 1,447.6 
Measurement period adjustment 0.6  —  0.6 
Translation adjustment —  (8.0) (8.0)
Balance—March 31, 2024 $ 634.0  $ 806.2  $ 1,440.2 
Gross carrying amounts and cumulative goodwill impairment losses are as follows (in millions):
March 31, 2024 December 31, 2023
Gross Carrying Amount Cumulative Impairment Gross Carrying Amount Cumulative Impairment
Goodwill $ 1,652.0  $ (211.8) $ 1,659.4  $ (211.8)
Schedule of Finite-Lived Intangible Assets A summary of intangible assets useful lives, gross carrying value and related accumulated amortization is below (in millions):
March 31, 2024
Original Average
 Life in Years		 Gross Carrying
 Amount		 Accumulated
 Amortization		 Net Book
 Value
Customer relationships
6 - 13
 $ 339.2  $ (155.8) $ 183.4 
Distributor relationships
7 - 13
 60.9  (17.8) 43.1 
Developed technology
5 - 16
 262.3  (75.1) 187.2 
Trade names
3 - 10
 99.0  (24.4) 74.6 
Backlog and other
1 - 4
 75.2  (59.2) 16.0 
Total $ 836.6  $ (332.3) $ 504.3 
December 31, 2023
Original Average
 Life in Years		 Gross Carrying
 Amount		 Accumulated
 Amortization 		Net Book
 Value
Customer relationships
6 - 13
 $ 340.8  $ (143.1) $ 197.7 
Distributor relationships
7 - 13
 60.9  (16.0) 44.9 
Developed technology
5 - 16
 264.1  (67.8) 196.3 
Trade names
3 - 10
 99.7  (22.1) 77.6 
Backlog and other
1 - 4
 76.0  (53.7) 22.3 
Total $ 841.5  $ (302.7) $ 538.8 
Schedule of Finite-lived Intangible Assets Amortization Expense
Aggregate amortization expense for intangible assets included in cost of revenues and operating expenses was as follows (in millions):
Three Months Ended March 31, Three Months Ended March 31,
2024 2023
Amortization expense for intangible assets in:
Cost of revenues $ 6.8  $ 6.7 
Operating expenses $ 24.7  $ 26.9