GOODWILL AND INTANGIBLE ASSETS

6 Months Ended

Jun. 30, 2026

Intangible Asset, Goodwill and Other [Abstract]

Goodwill

Changes in the carrying amount of goodwill for the six months ended June 30, 2026 were as follows:


	Total



Goodwill at January 1, 2026	$	109,269
Clinic acquisitions	5,927
Foreign currency translation impact	3,265
Goodwill at June 30, 2026	$	118,461

Intangible Assets

As of June 30, 2026, the balances of amortizable intangible assets were as follows:


	Weighted-Average Amortization Period	Gross Intangible Assets		Accumulated Amortization		Net Intangible Assets
Patents	8.8 years	$	52,099	$	(21,471)	$	30,628
Intellectual Property & Capitalized Software	6.7 years	16,057		(6,416)		9,641
Customer Relationships & Other	9.4 years	28,191		(7,106)		21,085
License Agreements	2.6 years	10,665		(8,274)		2,391
Total amortizable assets		$	107,012	$	(43,267)	$	63,745

As of December 31, 2025, the balances of amortizable intangible assets were as follows:


	Weighted-Average Amortization Period	Gross Intangible Assets		Accumulated Amortization		Net Intangible Assets
Patents	9.3 years	$	49,939	$	(18,854)	$	31,085
Intellectual Property & Capitalized Software	7.1 years	16,056		(5,642)		10,414
Customer Relationships & Other	9.7 years	26,278		(6,107)		20,171
License Agreements	2.5 years	10,453		(7,321)		3,132
Total amortizable assets		$	102,726	$	(37,924)	$	64,802

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 $12,819 and $12,909 as of June 30, 2026 and December 31, 2025, 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, 2026 was driven by foreign currency translation adjustments.

During 2025, management completed a quantitative analysis whereby we determined the fair value of certain of our trademark assets were below their respective carrying values. We recorded an impairment charge of $4,228 for the year ended December 31, 2025 to reduce the carrying amount of the intangible assets to their estimated fair value.