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Goodwill and Intangible Assets
3 Months Ended
Mar. 31, 2015
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets
The changes in the carrying amount of goodwill for the three months ended March 31, 2015 are as follows (in thousands):

 
2015
Goodwill balance at January 1
184,464

Effect of foreign exchange
(59
)
Goodwill balance at March 31
$
184,405



There were no changes in the carrying amount of goodwill for the three months ended March 31, 2014.

As of March 31, 2015, we had recorded $8.3 million of accumulated goodwill impairment charges. All of the goodwill balance as of March 31, 2015 and December 31, 2014 related to our cardiovascular segment.

Other intangible assets at March 31, 2015 and December 31, 2014, consisted of the following (in thousands):

 
March 31, 2015
 
Gross Carrying
Amount
 
Accumulated
Amortization
 
Net Carrying
Amount
Patents
$
10,680

 
$
(2,282
)
 
$
8,398

Distribution agreements
5,626

 
(2,421
)
 
3,205

License agreements
8,869

 
(1,981
)
 
6,888

Trademarks
7,253

 
(2,188
)
 
5,065

Covenants not to compete
1,029

 
(696
)
 
333

Customer lists
20,384

 
(13,619
)
 
6,765

Royalty agreements
267

 
(267
)
 

 
 
 
 
 
 
Total
$
54,108

 
$
(23,454
)
 
$
30,654


 
December 31, 2014
 
Gross Carrying
Amount
 
Accumulated
Amortization
 
Net Carrying
Amount
Patents
$
10,199

 
$
(2,196
)
 
$
8,003

Distribution agreements
5,376

 
(2,285
)
 
3,091

License agreements
8,995

 
(1,823
)
 
7,172

Trademarks
7,298

 
(2,079
)
 
5,219

Covenants not to compete
1,029

 
(636
)
 
393

Customer lists
20,452

 
(13,194
)
 
7,258

Royalty agreements
267

 
(267
)
 

 
 
 
 
 
 
Total
$
53,616

 
$
(22,480
)
 
$
31,136



Aggregate amortization expense for the three-month periods ended March 31, 2015 and 2014 was approximately $3.6 million and $3.7 million, respectively.

Estimated amortization expense for the developed technology and other intangible assets for the next five years consists of the following as of March 31, 2015 (in thousands):

Year Ending December 31
 
Remaining 2015
$
11,101

2016
14,279

2017
13,723

2018
13,147

2019
12,864