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Goodwill and Other Intangible Assets (Tables)
 9 Months Ended
Sep. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The changes in the net carrying amount of goodwill for the nine months ended September 30, 2022 are as follows:

Balance as of December 31, 2021$617,528 
Goodwill resulting from business acquisitions198,992 
Foreign currency translation(2,260)
Balance as of September 30, 2022$814,260 
Schedule of Finite-Lived Intangible Assets
Other intangible assets consist of the following:

 September 30, 2022December 31, 2021
Weighted Average Amortization Period (Years)Gross
Carrying
Amount		Accumulated
Amortization		Gross
Carrying
Amount		Accumulated
Amortization
Intangible assets with definite lives:21
Customer and distributor relationships24$369,643 $(166,190)$342,452 $(152,934)
Sales representation, marketing and promotional rights25149,376 (64,500)149,376 (60,000)
Developed technology18320,204 (32,368)106,604 (26,495)
Patents and other intangible assets1578,808 (52,064)76,392 (50,890)
Intangible assets with indefinite lives:    
Trademarks and tradenames86,544 — 86,544 — 
$1,004,575 $(315,122)$761,368 $(290,319)
Schedule of Indefinite-Lived Intangible Assets
Other intangible assets consist of the following:

 September 30, 2022December 31, 2021
Weighted Average Amortization Period (Years)Gross
Carrying
Amount		Accumulated
Amortization		Gross
Carrying
Amount		Accumulated
Amortization
Intangible assets with definite lives:21
Customer and distributor relationships24$369,643 $(166,190)$342,452 $(152,934)
Sales representation, marketing and promotional rights25149,376 (64,500)149,376 (60,000)
Developed technology18320,204 (32,368)106,604 (26,495)
Patents and other intangible assets1578,808 (52,064)76,392 (50,890)
Intangible assets with indefinite lives:    
Trademarks and tradenames86,544 — 86,544 — 
$1,004,575 $(315,122)$761,368 $(290,319)
Schedule of Estimated Amortization Expense
The estimated intangible asset amortization expense remaining for the year ending December 31, 2022 and for each of the five succeeding years is as follows:
 
Amortization included in expenseAmortization recorded as a reduction of revenueTotal
Remaining, 2022$7,487 $1,500 $8,987 
202329,263 6,000 35,263 
202428,947 6,000 34,947 
202529,423 6,000 35,423 
202629,196 6,000 35,196 
202730,235 6,000 36,235