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Goodwill and Other Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Goodwill | The changes in the net carrying amount of goodwill for the years ended December 31, are as follows:
| 2020 |  | 2019
Balance as of January 1, | $ | 618,042 |  |  | $ | 400,440 |
Goodwill resulting from business combinations | — |  |  | 217,482 |
Goodwill adjustment resulting from business combinations | (1,009) |  |  | — |
Foreign currency translation | 1,407 |  |  | 120 |
Balance as of December 31, | $ | 618,440 |  |  | $ | 618,042 |
Schedule of Estimated Amortization Expense | The estimated amortization expense related to intangible assets at December 31, 2020 and for each of the five succeeding years is as follows:
| Amortization included in expense |  | Amortization recorded as a reduction of revenue |  | Total
2021 | $ | 27,535 |  |  | $ | 6,000 |  |  | $ | 33,535 |
2022 | 26,377 |  |  | 6,000 |  |  | 32,377 |
2023 | 25,609 |  |  | 6,000 |  |  | 31,609 |
2024 | 24,794 |  |  | 6,000 |  |  | 30,794 |
2025 | 25,046 |  |  | 6,000 |  |  | 31,046 |
Schedule of Finite-Lived Intangible Assets | Other intangible assets consist of the following:
| December 31, 2020 |  | December 31, 2019
| Weighted Average Amortization Period (Years) | Gross Carrying Amount |  | Accumulated Amortization |  | Gross Carrying Amount |  | Accumulated Amortization
Intangible assets with definite lives: |  |  |  |  |  |  |  |
Customer and distributor relationships | 24 | $ | 342,639 |  |  | $ | (134,555) |  |  | $ | 342,568 |  |  | $ | (115,311) |
Sales representation, marketing and promotional rights | 25 | 149,376 |  |  | (54,000) |  |  | 149,376 |  |  | (48,000) |
Patents and other intangible assets | 15 | 73,516 |  |  | (48,882) |  |  | 70,646 |  |  | (46,456) |
Developed technology | 16 | 106,604 |  |  | (19,705) |  |  | 106,604 |  |  | (13,171) |
Intangible assets with indefinite lives: |  |  |  |  |  |  |  |
Trademarks and tradenames |  | 86,544 |  |  | — |  |  | 86,544 |  |  | — |
| 22 | $ | 758,679 |  |  | $ | (257,142) |  |  | $ | 755,738 |  |  | $ | (222,938) |
Schedule of Indefinite-Lived Intangible Assets | Other intangible assets consist of the following:
| December 31, 2020 |  | December 31, 2019
| Weighted Average Amortization Period (Years) | Gross Carrying Amount |  | Accumulated Amortization |  | Gross Carrying Amount |  | Accumulated Amortization
Intangible assets with definite lives: |  |  |  |  |  |  |  |
Customer and distributor relationships | 24 | $ | 342,639 |  |  | $ | (134,555) |  |  | $ | 342,568 |  |  | $ | (115,311) |
Sales representation, marketing and promotional rights | 25 | 149,376 |  |  | (54,000) |  |  | 149,376 |  |  | (48,000) |
Patents and other intangible assets | 15 | 73,516 |  |  | (48,882) |  |  | 70,646 |  |  | (46,456) |
Developed technology | 16 | 106,604 |  |  | (19,705) |  |  | 106,604 |  |  | (13,171) |
Intangible assets with indefinite lives: |  |  |  |  |  |  |  |
Trademarks and tradenames |  | 86,544 |  |  | — |  |  | 86,544 |  |  | — |
| 22 | $ | 758,679 |  |  | $ | (257,142) |  |  | $ | 755,738 |  |  | $ | (222,938) |

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