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Goodwill and Intangible Assets | 9 Months Ended
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Sep. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract] |
Goodwill and Intangible Assets | (7) Goodwill and Intangible Assets The following table summarizes the activity in goodwill:
| Nine Months Ended September 30, 2022
| Healthcare |  | Industrial |  | Consolidated
(in thousands) | Gross Goodwill |  | Impairments |  | Net Goodwill |  | Gross Goodwill |  | Impairments |  | Net Goodwill |  | Gross Goodwill |  | Impairments |  | Net Goodwill
Balance at beginning of year | $ | 121,970 |  |  | $ | (32,055) |  |  | $ | 89,915 |  |  | $ | 298,002 |  |  | $ | (42,329) |  |  | $ | 255,673 |  |  | $ | 419,972 |  |  | $ | (74,384) |  |  | $ | 345,588 |
Acquisitions | 17,158 |  |  | — |  |  | 17,158 |  |  | 15,679 |  |  | — |  |  | 15,679 |  |  | 32,837 |  |  | — |  |  | 32,837 |
Foreign currency translation adjustments | (8,999) |  |  | — |  |  | (8,999) |  |  | (11,881) |  |  | — |  |  | (11,881) |  |  | (20,880) |  |  | — |  |  | (20,880) |
Balance at the end of the period | $ | 130,129 |  |  | $ | (32,055) |  |  | $ | 98,074 |  |  | $ | 301,800 |  |  | $ | (42,329) |  |  | $ | 259,471 |  |  | $ | 431,929 |  |  | $ | (74,384) |  |  | $ | 357,545 |
Intangible assets, net, at September 30, 2022 and December 31, 2021 are summarized as follows:
| September 30, 2022 |  | December 31, 2021 |  |
(in thousands) | Gross |  | Accumulated Amortization |  | Net |  | Gross |  | Accumulated Amortization |  | Net |  | Weighted Average Useful Life Remaining (in years)
Intangible assets with finite lives: |  |  |  |  |  |  |  |  |  |  |  |  |
Customer relationships | $ | 47,699 |  |  | $ | (44,345) |  |  | $ | 3,354 |  |  | $ | 53,062 |  |  | $ | (45,613) |  |  | $ | 7,449 |  |  | 2.7
Acquired technology | 53,205 |  |  | (7,677) |  |  | 45,528 |  |  | 17,518 |  |  | (5,430) |  |  | 12,088 |  |  | 8.1
Trade names | 30,447 |  |  | (11,176) |  |  | 19,271 |  |  | 20,448 |  |  | (10,438) |  |  | 10,010 |  |  | 12.4
Patent costs | 18,374 |  |  | (10,897) |  |  | 7,477 |  |  | 21,852 |  |  | (11,812) |  |  | 10,040 |  |  | 9.1
Trade secrets | 19,398 |  |  | (19,176) |  |  | 222 |  |  | 19,924 |  |  | (18,971) |  |  | 953 |  |  | 0.4
Acquired patents | 17,990 |  |  | (16,107) |  |  | 1,883 |  |  | 16,257 |  |  | (15,945) |  |  | 312 |  |  | 12.7
Other | 12,686 |  |  | (7,883) |  |  | 4,803 |  |  | 12,982 |  |  | (7,999) |  |  | 4,983 |  |  | 8.4
Total intangible assets | $ | 199,799 |  |  | $ | (117,261) |  |  | $ | 82,538 |  |  | $ | 162,043 |  |  | $ | (116,208) |  |  | $ | 45,835 |  |  | 9.1
Amortization expense related to intangible assets was $4,293 and $10,273 for the three and nine months ended September 30, 2022, respectively, compared to $2,690 and $7,619 for the three and nine months ended September 30, 2021, respectively.

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- Definition The entire disclosure for all or part of the information related to intangible assets. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -URI https://asc.fasb.org/subtopic&trid=2144471 + Details
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