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Goodwill and Intangible Assets (Tables) | 3 Months Ended
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Mar. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract] |
Changes in carrying amount of goodwill | The changes in the carrying amount of goodwill for the three-month period ended March 31, 2019 were as follows (in thousands):
| 2019
Goodwill balance at January 1 | $ | 335,433 |
Effect of foreign exchange | (413 | )
Purchase price adjustments as the result of acquisitions | (69 | )
Goodwill balance at March 31 | $ | 334,951 |
Other intangible assets | Other intangible assets at March 31, 2019 and December 31, 2018, consisted of the following (in thousands):
| March 31, 2019
| Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Amount
Patents | $ | 20,231 |  |  | $ | (5,467 | ) |  | $ | 14,764 |
Distribution agreements | 8,012 |  |  | (6,023 | ) |  | 1,989 |
License agreements | 26,926 |  |  | (7,941 | ) |  | 18,985 |
Trademarks | 29,991 |  |  | (7,298 | ) |  | 22,693 |
Covenants not to compete | 1,028 |  |  | (1,008 | ) |  | 20 |
Customer lists | 39,965 |  |  | (24,732 | ) |  | 15,233 |
In-process technology | 3,420 |  |  | — |  |  | 3,420 |
Total | $ | 129,573 |  |  | $ | (52,469 | ) |  | $ | 77,104 |
| December 31, 2018
| Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Amount
Patents | $ | 19,378 |  |  | $ | (5,012 | ) |  | $ | 14,366 |
Distribution agreements | 8,012 |  |  | (5,766 | ) |  | 2,246 |
License agreements | 26,930 |  |  | (7,411 | ) |  | 19,519 |
Trademarks | 29,998 |  |  | (6,586 | ) |  | 23,412 |
Covenants not to compete | 1,028 |  |  | (1,000 | ) |  | 28 |
Customer lists | 39,936 |  |  | (23,361 | ) |  | 16,575 |
In-process technology | 3,420 |  |  | — |  |  | 3,420 |
Total | $ | 128,702 |  |  | $ | (49,136 | ) |  | $ | 79,566 |
Estimated amortization expense | Estimated amortization expense for the developed technology and other intangible assets for the next five years consists of the following as of March 31, 2019 (in thousands):
Year Ending December 31 |
Remaining 2019 | $ | 44,351 |
2020 | 56,238 |
2021 | 48,864 |
2022 | 47,398 |
2023 | 46,136 |

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