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Goodwill and Intangible Assets, Net
 12 Months Ended
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets, Net Goodwill and Intangible Assets, Net
In connection with our new segment structure, which began in the first quarter of 2022, goodwill is now reported as part of Products & Healthcare Services or Patient Direct. There was no change to our underlying reporting units as part of that segment change and therefore no reallocation of goodwill. As of October 1, 2022, we performed our annual impairment test and concluded that there were no impairments of goodwill. In December 2021, we closed on an acquisition of a small kitting business, the impact of which was immaterial to our financial results.
The following table summarizes the changes in the carrying amount of goodwill through December 31, 2022:

Patient DirectProducts & Healthcare ServicesConsolidated
Net carrying amount of goodwill, December 31, 2020$283,905 $110,181 $394,086 
Currency translation adjustments— (6,717)(6,717)
Acquisition2,816 2,816 
Net carrying amount of goodwill, December 31, 2021283,905 106,280 390,185 
Currency translation adjustments— (2,713)(2,713)
Acquisition1,249,765 (532)1,249,233 
Net carrying amount of goodwill, December 31, 2022$1,533,670 $103,035 $1,636,705 
Intangible assets at December 31, 2022 and 2021 were as follows:
 20222021
 Customer
Relationships		TradenamesOther
Intangibles		Customer
Relationships		TradenamesOther
Intangibles
Gross intangible assets$447,107 $202,000 $73,181 $275,526 $90,000 $43,189 
Accumulated amortization(197,540)(50,094)(29,612)(146,168)(33,242)(19,560)
Net intangible assets$249,567 $151,906 $43,569 $129,358 $56,758 $23,629 
Weighted average useful life13 years10 years6 years10 years11 years8 years
At December 31, 2022 and 2021, $308 million and $45.7 million in net intangible assets were held in the Patient Direct segment and $137 million and $164 million were held in the Products & Healthcare Services segment. Amortization expense for intangible assets was $78.8 million for 2022, $39.8 million for 2021 and $41.5 million for 2020.
Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is $83.2 million for 2023, $65.3 million for 2024, $55.2 million for 2025, $53.7 million for 2026, and $46.9 million for 2027.