| Schedule of Changes in Goodwill |
Changes in the carrying amount of goodwill for the nine months ended September 30, 2026 were as follows: | | | | | | | | | | | Total | | | | | | | | | | | Goodwill at January 1, 2026 | | $ | 109,269 | | | Clinic and other acquisitions | | 7,749 | | | Foreign currency translation impact | | 1,568 | | Goodwill at September 30, 2026 | | $ | 118,586 | |
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| Schedule of the Balances of Amortizable Intangible Assets |
As of September 30, 2026, the balances of amortizable intangible assets were as follows: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Weighted-Average Amortization Period | | Gross Intangible Assets | | Accumulated Amortization | | Net Intangible Assets | | Patents | | 8.5 years | | $ | 51,058 | | | $ | (21,912) | | | $ | 29,146 | | | Intellectual Property & Capitalized Software | | 6.5 years | | 16,057 | | | (6,803) | | | 9,254 | | | Customer Relationships & Other | | 9.2 years | | 28,722 | | | (7,604) | | | 21,118 | | | License Agreements | | 2.6 years | | 10,865 | | | (8,715) | | | 2,150 | | | Total amortizable assets | | | | $ | 106,702 | | | $ | (45,034) | | | $ | 61,668 | |
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 | |
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