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Goodwill and Other Intangible Assets, Net (Tables)
9 Months Ended
Oct. 02, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The changes in the carrying amount of goodwill by reportable segment for the nine months ended October 2, 2020 were as follows (in thousands):
MedicalNon- MedicalTotal
December 31, 2019$822,617 $17,000 $839,617 
Foreign currency translation7,347 — 7,347 
Acquisitions and related adjustments (Note 2)4,715 — 4,715 
October 2, 2020$834,679 $17,000 $851,679 
Schedule of Finite-Lived Intangible Assets, Major Class
Intangible assets at October 2, 2020 and December 31, 2019 were as follows (in thousands):
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
October 2, 2020
Definite-lived:
Purchased technology and patents$255,475 $(148,792)$106,683 
Customer lists715,589 (153,540)562,049 
Other4,103 (3,704)399 
Total$975,167 $(306,036)$669,131 
Indefinite-lived:
Trademarks and tradenames$90,288 
December 31, 2019
Definite-lived:
Purchased technology and patents$248,264 $(138,435)$109,829 
Customer lists706,852 (131,185)575,667 
Other3,503 (3,503)— 
Total$958,619 $(273,123)$685,496 
Indefinite-lived:
Trademarks and tradenames$90,288 
Schedule of Indefinite-Lived Intangible Assets
Intangible assets at October 2, 2020 and December 31, 2019 were as follows (in thousands):
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
October 2, 2020
Definite-lived:
Purchased technology and patents$255,475 $(148,792)$106,683 
Customer lists715,589 (153,540)562,049 
Other4,103 (3,704)399 
Total$975,167 $(306,036)$669,131 
Indefinite-lived:
Trademarks and tradenames$90,288 
December 31, 2019
Definite-lived:
Purchased technology and patents$248,264 $(138,435)$109,829 
Customer lists706,852 (131,185)575,667 
Other3,503 (3,503)— 
Total$958,619 $(273,123)$685,496 
Indefinite-lived:
Trademarks and tradenames$90,288 
Schedule of Finite-Lived Intangible Assets, Amortization Expense
Aggregate intangible asset amortization expense comprises the following (in thousands):
 Three Months EndedNine Months Ended
 October 2,
2020
September 27,
2019
October 2,
2020
September 27,
2019
Cost of sales$3,219 $3,165 $9,660 $9,622 
Selling, general and administrative expenses7,080 6,617 21,234 19,845 
Total intangible asset amortization expense$10,299 $9,782 $30,894 $29,467 
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense
Estimated future intangible asset amortization expense based on the carrying value as of October 2, 2020 is as follows (in thousands):
Remainder of 2020202120222023 2024After 2024
Amortization Expense$10,193 41,186 40,137 38,720 37,768 501,127