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Goodwill and Intangible Assets (Tables) | 9 Months Ended
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Sep. 30, 2021
Goodwill and Intangible Assets Disclosure [Abstract] |
Changes in Carrying Amount of Goodwill | The following table represents changes in the carrying amount of goodwill:
| December 31, 2020 |  | Additions (1) |  | 340B Link Business Measurement Period Adjustments (1) |  | Foreign currency exchange rate fluctuations |  | September 30, 2021
| (In thousands)
Goodwill | $ | 499,309 |  |  | 118,846 |  |  | (849) |  |  | (919) |  |  | $ | 616,387 |
_________________________________________________ (1) Refer to Note 2, Business Combinations, for further information.
Carrying Amounts and Useful Lives of Intangible Assets | The carrying amounts and useful lives of intangible assets as of September 30, 2021 and December 31, 2020 were as follows:
| September 30, 2021
| Gross carrying amount (1) |  | Accumulated amortization |  | Foreign currency exchange rate fluctuations |  | Net carrying amount |  | Useful life (years)
| (In thousands, except for years)
Customer relationships | $ | 247,389 |  |  | $ | (73,845) |  |  | $ | (916) |  |  | $ | 172,628 |  |  | 10 - 30
Acquired technology | 93,366 |  |  | (52,631) |  |  | 6 |  |  | 40,741 |  |  | 5 - 20
Trade names | 9,400 |  |  | (5,539) |  |  | 14 |  |  | 3,875 |  |  | 1 - 12
Patents | 2,890 |  |  | (1,578) |  |  | — |  |  | 1,312 |  |  | 2 - 20
Non-compete agreements | 600 |  |  | (200) |  |  | — |  |  | 400 |  |  | 3
Total intangibles assets, net | $ | 353,645 |  |  | $ | (133,793) |  |  | $ | (896) |  |  | $ | 218,956 |  |  |
| December 31, 2020
| Gross carrying amount (1) |  | Accumulated amortization |  | Foreign currency exchange rate fluctuations |  | Net carrying amount |  | Useful life (years)
| (In thousands, except for years)
Customer relationships | $ | 187,889 |  |  | $ | (64,254) |  |  | $ | (777) |  |  | $ | 122,858 |  |  | 10 - 30
Acquired technology | 86,029 |  |  | (44,851) |  |  | 6 |  |  | 41,184 |  |  | 5 - 20
Backlog | 1,150 |  |  | (1,078) |  |  | — |  |  | 72 |  |  | 4
Trade names | 7,850 |  |  | (5,794) |  |  | 14 |  |  | 2,070 |  |  | 1 - 12
Patents | 2,930 |  |  | (1,455) |  |  | 2 |  |  | 1,477 |  |  | 2 - 20
Non-compete agreements | 600 |  |  | (50) |  |  | — |  |  | 550 |  |  | 3
Total intangibles assets, net | $ | 286,448 |  |  | $ | (117,482) |  |  | $ | (755) |  |  | $ | 168,211 |  |  |
_________________________________________________ (1) The differences in gross carrying amounts between periods are primarily due to additions of intangible assets in connection with the FDS Amplicare acquisition, partially offset by the write-off of certain fully amortized intangible assets.
Estimated Future Amortization Expense for Intangible Assets | The estimated future amortization expenses for amortizable intangible assets were as follows:
| September 30, 2021
| (In thousands)
Remaining three months of 2021 | $ | 7,818 |
2022 | 28,772 |
2023 | 25,580 |
2024 | 18,462 |
2025 | 16,670 |
Thereafter | 121,654 |
Total | $ | 218,956 |

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