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Goodwill and Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract] |
Changes in carrying amount of goodwill | The changes in the carrying amount of goodwill for the years ended December 31, 2019 and 2018, are as follows (in thousands):
​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | 2019 |  | 2018
Goodwill balance at January 1 | ​ | $ | 335,433 | ​ | $ | 238,147
Effect of foreign exchange | ​ |  | (199) | ​ |  | (1,304)
Additions and adjustments as the result of acquisitions | ​ |  | 17,959 | ​ |  | 98,590
Goodwill balance at December 31 | ​ | $ | 353,193 | ​ | $ | 335,433
Other intangible assets | Other intangible assets at December 31, 2019 and 2018, consisted of the following (in thousands):
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | December 31, 2019
​ | ​ | Gross Carrying | ​ | Accumulated | ​ | Net Carrying
​ |  | Amount |  | Amortization |  | Amount
Patents | ​ | $ | 22,703 | ​ | $ | (6,863) | ​ | $ | 15,840
Distribution agreements | ​ |  | 8,012 | ​ |  | (6,794) | ​ |  | 1,218
License agreements | ​ |  | 26,987 | ​ |  | (12,746) | ​ |  | 14,241
Trademarks | ​ |  | 30,240 | ​ |  | (9,477) | ​ |  | 20,763
Covenants not to compete | ​ |  | 964 | ​ |  | (964) | ​ |  | —
Customer lists | ​ |  | 39,984 | ​ |  | (28,763) | ​ |  | 11,221
In-process technology | ​ |  | 2,500 | ​ |  | — | ​ |  | 2,500
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Total | ​ | $ | 131,390 | ​ | $ | (65,607) | ​ | $ | 65,783
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​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | December 31, 2018
​ | ​ | Gross Carrying | ​ | Accumulated | ​ | Net Carrying
​ |  | Amount |  | Amortization |  | 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 December 31, 2019 (in thousands):
​ | ​ | ​ | ​
Year Ending December 31, | ​ | Estimated Amortization Expense
2020 | ​ | $ | 59,386
2021 | ​ |  | 52,032
2022 | ​ |  | 50,682
2023 | ​ | ​ | 49,485
2024 | ​ |  | 46,506

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