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Goodwill and Long-lived Assets
9 Months Ended
Sep. 30, 2020
Notes To Financial Statements [Abstract]  
Goodwill and Intangible Assets Goodwill and Intangible Assets
Goodwill

The change in the carrying value of goodwill for the nine months ended September 30, 2020, categorized by reportable segments, is as follows (in thousands):
Clear AlignerSystems and ServicesTotal
Balance as of December 31, 2019$63,924 $— $63,924 
Additions from exocad acquisition1
43,500 296,681 340,181 
Adjustments 2
2,695 20,542 23,237 
Balance as of September 30, 2020$110,119 $317,223 $427,342 

1 Includes goodwill adjustments within the measurement period (up to one year from acquisition date). Refer to Note 4 "Business Combination" of the Notes to Condensed Consolidated Financial Statements for additional details.
2 Adjustments related to foreign currency translation within the measurement period

During the fourth quarter of fiscal 2019, we performed our annual goodwill impairment testing and found no impairment as the fair value of our Clear Aligner reporting unit was significantly in excess of the carrying value.

Intangible Long-Lived Assets

Acquired intangible long-lived assets are being amortized as follows (in thousands): 
Weighted Average Amortization Period
(in years)
Gross Carrying Amount as of September 30, 2020
Accumulated
Amortization
Accumulated
Impairment Loss
Net Carrying
Value as of
September 30, 2020
Trademarks and tradenames10$16,900 $(2,849)$(4,179)$9,872 
Existing technology1099,600 (10,603)(4,328)84,669 
Customer relationships1155,000 (20,876)(10,751)23,373 
Other 1
514,913 (11,885)— 3,028 
$186,413 $(46,213)$(19,258)120,942 
Foreign currency translation7,662 
Total intangible assets 2
$128,604 

1 Includes reacquired rights, patents and other intangible assets
2 Refer to Note 4 "Business Combination" of the Notes to Condensed 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
Accumulated Impairment LossNet Carrying
Value as of
December 31, 2019
Trademarks15$7,100 $(2,045)$(4,179)$876 
Existing technology1312,600 (5,831)(4,328)2,441 
Customer relationships1133,500 (18,405)(10,751)4,344 
Reacquired rights37,500 (7,059)— 441 
Patents86,796 (3,165)— 3,631 
Other2618 (583)— 35 
Total intangible assets$68,114 $(37,088)$(19,258)$11,768 

The total estimated annual future amortization expense for these acquired intangible assets as of September 30, 2020 is as follows (in thousands):
Fiscal Year Ending December 31,

Amortization
Remainder of 2020$3,907 
202115,622 
202214,366 
202313,745 
202412,805 
Thereafter60,497 
Total$120,942 

Amortization expense for the three months ended September 30, 2020 and 2019 was $4.1 million and $1.5 million, respectively, and amortization expense for the nine months ended September 30, 2020 and 2019 was $9.5 million and $4.5 million, respectively.