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Goodwill and Intangible Assets
3 Months Ended
Mar. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets
(5) Goodwill and Intangible Assets

Goodwill:

All goodwill reported at March 31, 2024 and December 31, 2023 is allocated to our Healthcare Solutions reportable segment. The change in the goodwill balance between December 31, 2023 and March 31, 2024 reflects the impact of changes in foreign exchange rates on the portion of our goodwill balance that is recorded in currencies other that the U.S. dollar in the financial statements of foreign subsidiaries.

Intangible Assets:

At March 31, 2024 and December 31, 2023, the Company's intangible assets, all of which have finite lives, were as follows:
March 31, 2024December 31, 2023
(in thousands)
Gross
Accumulated AmortizationNet
Gross
Accumulated AmortizationNet
Intangible assets with finite lives:
Customer relationships$51,971 $(50,393)$1,578 $54,565 $(52,796)$1,769 
Acquired technology46,754 (14,041)32,713 47,515 (13,268)34,247 
Trade names26,493 (14,257)12,236 26,938 (14,059)12,879 
Patent costs19,537 (11,355)8,182 19,579 (11,350)8,229 
Acquired patents16,444 (14,820)1,624 16,503 (14,822)1,681 
Other9,686 (5,901)3,785 13,711 (9,792)3,919 
Total intangible assets$170,885 $(110,767)$60,118 $178,811 $(116,087)$62,724 

Amortization expense related to intangible assets was $1,996 and $3,239 for the three months ended March 31, 2024 and 2023, respectively. Amortization expense for intangible assets is estimated to be $6,019 for the remainder of 2024, $8,017 in 2025, $7,990 in 2026, $7,119 in 2027 and $6,663 in 2028.