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Goodwill and Intangible Assets
12 Months Ended
Dec. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets Goodwill and Intangible Assets
Goodwill

The change in the carrying value of goodwill for the year ended December 31, 2020 and 2019, categorized by reportable segments, is as follows (in thousands):
Clear AlignerSystems and ServicesTotal
Balance as of December 31, 2018$64,029 $— $64,029 
Adjustments 2
(105)— (105)
Balance as of December 31, 201963,924 — 63,924 
Additions from exocad acquisition 1
43,500 296,681 340,181 
Adjustments 2
5,267 35,445 40,712 
Balance as of December 31, 2020$112,691 $332,126 $444,817 
1    Includes goodwill adjustments within the measurement period (up to one year from acquisition date). Refer to Note 5 "Business Combination" of the Notes to Consolidated Financial Statements for additional details.
2     Adjustments related to foreign currency translation within the measurement period

We completed our annual goodwill impairment assessments in 2020 and 2019 and determined there were no impairments.

Intangible Long-Lived Assets

We amortize our intangible assets over their estimated useful lives. We evaluate long-lived assets, which includes property, plant and equipment and intangible assets, for impairment whenever events or changes in circumstances indicate the carrying value of an asset may not be recoverable. The carrying value is not recoverable if it exceeds the undiscounted cash flows resulting from the use of the asset and its eventual disposition. Our estimates of future cash flows attributable to our long-lived assets require significant judgment based on our historical and anticipated results and are subject to many factors. Factors we consider important which could trigger an impairment review include significant negative industry or economic trends, significant loss of customers and changes in the competitive environment.

There were no triggering events in 2020 or 2019 that would cause impairments of our intangible long-lived assets.

Acquired intangible long-lived assets were as follows, excluding intangibles that were fully amortized (in thousands):

Weighted Average Amortization Period (in years)Gross Carrying Amount as of
December 31, 2020
Accumulated
Amortization
Accumulated Impairment LossNet Carrying
Value as of
December 31, 2020
Existing technology10$99,400 $(12,719)$(4,328)$82,353 
Customer relationships1155,000 (21,879)(10,751)22,370 
Trademarks and tradenames1016,600 (2,934)(4,179)9,487 
Patents and other86,610 (3,785)— 2,825 
$177,610 $(41,317)$(19,258)117,035 
Foreign currency translation13,037 
Total intangible assets 1
$130,072 
1    Refer to Note 5 "Business Combination" of the Notes to Consolidated Financial Statements for additional details on intangible assets from our exocad acquisition
Weighted Average Amortization Period (in years)Gross Carrying
Amount as of
December 31, 2019
Accumulated
Amortization 2
Accumulated Impairment LossNet Carrying
Value as of
December 31, 2019
Trademarks15$6,800 $(1,745)$(4,179)$876 
Existing technology1312,400 (5,631)(4,328)2,441 
Customer relationships1133,500 (18,405)(10,751)4,344 
Reacquired rights37,500 (7,059)— 441 
Patents and other86,770 (3,104)— 3,666 
Total intangible assets$66,970 $(35,944)$(19,258)$11,768 
2    Includes foreign currency translation which is immaterial

The total estimated annual future amortization expense for these acquired intangible assets as of December 31, 2020 is as follows (in thousands):

Fiscal YearAmortization
2021$15,622 
202214,366 
202313,745 
202412,805 
202512,428 
Thereafter48,069 
Total$117,035 
Amortization expense was $13.4 million, $5.9 million and $6.0 million for the year ended December 31, 2020, 2019 and 2018, respectively.