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Goodwill
12 Months Ended
Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill Goodwill
The following table reflects changes in the carrying amount of goodwill for the years ended December 31, 2019 and 2018:

In thousandsDevice SolutionsNetworked SolutionsOutcomesTotal Company
Goodwill balance at January 1, 2018$56,195  $455,382  $44,185  $555,762  
Goodwill acquired—  475,570  100,180  575,750  
Effect of change in exchange rates(936) (12,457) (1,586) (14,979) 
Goodwill balance at December 31, 201855,259  918,495  142,779  1,116,533  
Goodwill acquired—  (4,938) (1,040) (5,978) 
Effect of change in exchange rates(329) (5,469) (850) (6,648) 
Goodwill balance at December 31, 2019$54,930  $908,088  $140,889  $1,103,907  
The accumulated goodwill impairment losses at December 31, 2019 and 2018 were $676.5 million. The goodwill impairment losses were originally recognized in 2011 and 2013.