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Goodwill and Other Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2021
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:
 
 20212020
Balance as of January 1,$618,440 $618,042 
Goodwill adjustment resulting from business combinations— (1,009)
Foreign currency translation(912)1,407 
Balance as of December 31,$617,528 $618,440 
Schedule of Finite-Lived Intangible Assets
Other intangible assets consist of the following:

 December 31, 2021December 31, 2020
Weighted Average Amortization Period (Years)Gross
Carrying
Amount
Accumulated
Amortization
Gross
Carrying
Amount
Accumulated
Amortization
Intangible assets with definite lives:22  
Customer and distributor relationships24$342,452 $(152,934)$342,639 $(134,555)
Sales representation, marketing and promotional rights25149,376 (60,000)149,376 (54,000)
Patents and other intangible assets1676,392 (50,890)73,516 (48,882)
Developed technology16106,604 (26,495)106,604 (19,705)
Intangible assets with indefinite lives:
  
Trademarks and tradenames86,544 — 86,544 — 
 $761,368 $(290,319)$758,679 $(257,142)
Schedule of Indefinite-Lived Intangible Assets
Other intangible assets consist of the following:

 December 31, 2021December 31, 2020
Weighted Average Amortization Period (Years)Gross
Carrying
Amount
Accumulated
Amortization
Gross
Carrying
Amount
Accumulated
Amortization
Intangible assets with definite lives:22  
Customer and distributor relationships24$342,452 $(152,934)$342,639 $(134,555)
Sales representation, marketing and promotional rights25149,376 (60,000)149,376 (54,000)
Patents and other intangible assets1676,392 (50,890)73,516 (48,882)
Developed technology16106,604 (26,495)106,604 (19,705)
Intangible assets with indefinite lives:
  
Trademarks and tradenames86,544 — 86,544 — 
 $761,368 $(290,319)$758,679 $(257,142)
Schedule of Estimated Amortization Expense
The estimated amortization expense related to intangible assets at December 31, 2021 and for each of the five succeeding years is as follows:

Amortization included in expenseAmortization recorded as a reduction of revenueTotal
2022$26,397 $6,000 $32,397 
202325,665 6,000 31,665 
202424,947 6,000 30,947 
202525,140 6,000 31,140 
202624,651 6,000 30,651